GIFT  OF 
PPBEFCT 
BE1PHER. 


505 


Materia  Medica 


and 


Clinical   Therapeutics 


BY 

K.  J.  PKXBRSEN,  M.  13. 


Published  by 
K.  J.   l^ETKRSKX,   M.  IX 

Los  Olivos,  California, 
U.   S.  A. 


Entered  according  to  act  of  Congress, 

in  the  year  1905,  by 
FRED  J.  PETERSEN, 

In  the  office  of  the   Librarian  of  Congress, 
at  Washington,  D.  C. 


INTRODUCTION 


THERAPEUTICS 

j^^^Sg^gte 

Primary  Action  I  mii^^Km  Secondary  Action 


The  object  of  the  author  in  writing  this  book,  was  to 
give  to  the  medical  profession  a  work  on  materia  meclica 
and  therapeutics  with  reference  to  the  primary  and  sec- 
ondary action  of  drugs  as  well  as  to  the  physiological 
action.  To  write  an  entirely  original  work  on  the  subject 
embodied  in  this  is  an  impossibility.  By  drawing  from 
the  best  works  at  command  and  adding  such  original 
matter  as  the  author  has  found  of  special  value,  a  con- 
densed volume  of  much  practical  value  to  the  busy  and 
thoughtful  physician  is  herewith  presented.  In  a  wrork 
of  this  nature  a  few  words  of  explanation  are  not  only 
advisable,  but  a  positive  necessity.  In  this  age  of  progress 
the  progressive  spirit  demands  a  recognition  of  all  that  is 
good.  More  and  more  the  intelligent  practitioner  realizes 
that  medicine  is  a  science.  If  we  make  mistakes  it  is  not 
the  fault  of  the  science  of  medicine  but  of  ourselves.  The 
Eclectic  school  of  medicine  realized  this  long  ago. 

It  is  the  school  that  was  born  under  the  stars  and 
stripes,  one  that  has  gradually  worked  its  way  upwards, 
and  we  can  now  with  pride  point  to  the  fact  that  our 
system  is  the  most  successful.  The  old  school  uses  drugs 
for  their  physiological  action,  the  homoeopath  for  their 
primary  action  only.  We,  as  a  school,  realized  that  the 
dosage  of  the  old  school  of  medicine  generally  is  too  large, 
and,  for  that  reason,  we  use  many  remedies  for  their  mild 
physiological  or  secondary  action,  while  others  we  use  for 
their  primary  effects.  The  Eclectic  knows  that  many 
drugs  are  of  value  in  the  practice  of  medicine  only  in  their 
secondary  form  ;  others  again  are  too  strong  for  medical 
purposes  in  this  form  and  are  only  used  for  their  primary 
effect.  Again,  other  drugs  have  marked  medical  virtue 
in  both  their  primary  as  well  as  secondary  form.  Should 


4  INTRODUCTION 

the  progressive  up-to-date  physician  ignore  the  value  of 
a  drug1  in  its  primary  form  because  he  has  only  used  it  in 
the  secondary  form,  or  vice  versa?  A  drug  must  be 
studied  in  its  entirety.  The  sooner  the  sectarian  study 
of  drugs  is  eliminated  from  medicine,  and  the  sooner  it 
is  understood  that  the  smallest  dose  with  which  it  is  pos- 
sible to  get  an  effect  is  to  be  preferred  to  large  and  irri- 
tating or  depressing  doses,  the  sooner  it  will  be  under- 
stood that  medicine  is  a  science.  Should  we  condemn  mix 
vomica,  belladonna,  glonoine  and  other  useful  remedies 
in  their  secondary  form,  when  they  are  often  our  best 
friends  in  need? 

Should  we  condemn  arsenicum  I2x;  carbo  veg  I2x; 
colocynthis  2nd ;  veratrum  album  2nd  and  others,  when  in 
emergency  they  are  often  our  main  reliance? 

We  should  study  the  basic  indications  for  all,  and  if 
they  are  plain  we  shall  not  be  disappointed  whether  they 
point  to  the  primary  or  secondary  form.  The  study  of 
drugs  can  be  much  simplified  by  comparison  in  general 
and  in  those  that  have  an  apparent  dual  action  by 
using  the  physiological  action  basic  symptoms  as  a  key 
to  the  basic  indications  for  the  drug  in  its  primary  and 
secondary  form.  The  following  will  serve  as  an  illustra- 
tion of  the  dual  action  of  a  drug  where  there  is  medical 
virtue  both  in  the  primary  and  secondary  form.  By  get- 
ting the  basic  symptoms  of  the  physiological  action  it  is 
easy  to  know  what  the  indications  are  for  the  drug  in  its 
primary  and  secondary  form,  viz. : 

Glonoine  :  Physiological  basic  indication  :  Marked 
cerebral  engorgement;  face  becomes  very  red,  throbbing 
carotids  and  a  general  feeling  of  fullness  in  head  followed 
by  severe  headache ;  cannot  bear  hat  on  ;  warmth  or  heat 
aggravates  condition.  Bending  head  backwards  aggra- 
vates headache. 

Secondary  basic  indications :  In  temporary  cerebral 
anaemia,  anaemic  headache  which  is  relieved  by  bending 
head  backwards.  Head  may  feel  cool  and  warmth  ameli- 
orates to  some  extent.  In  sudden  collapse,  sunstroke,  etc. 

Primary  basic  indications:  In  the  I2th  dilution  or 
higher.  Flushed  face  with  marked  cerebral  engorgement, 
throbbing  carotids,  which  may  be  accompanied  or  fol- 


INTRODUCTION  5 

lowed  by  headache;  cannot  bear  to  have  pressure  o- 
weight  on  head ;  wants  head  uncovered,  least  jar  aggra 
vates  headache.  Warmth  or  heat  will  increase  headache 

As  can  be  readily  seen,  the  physiological  action  is  ou? 
key  to  its  primary  and  secondary  use.  The  basic  physio 
logical  symptoms  are  the  indication  for  the  drug  in  itf 
primary  form.  In  the  secondary  we  have  the  reverse 
instead  of  engorgement  there  is  anaemia  of  the  brain,  etc 

The  selection  of  guiding  indications  on  the  basis  of 
the  physiological  action  is  not  outlined  in  this  work;  bu1 
above  will  serve  as  guide  in  the  study  of  those  drugs  that 
have  a  dual  action  in  medicine.  No  matter  if  we  dea" 
with  remedies  that  have  a  dual  action  or  not  the  basi' 
indications  should  be  learned.  These  can  often  be  besl 
memorized  by  comparison  with  another  drug  whose  ac- 
tion is  the  reverse,  or  at  least  some  of  the  leading  indica- 
tions are.  The  reason  that  the  writer  has  given  the  treat 
ment  of  some  diseases  and  conditions,  both  in  Part  I  anc' 
II,  is  that  the  general  forms  of  treatment  for  those  specia 
conditions  have  been  so  much  more  satisfactory  thar 
others  with  the  writer,  that  it  almost  appears  to  be  r 
duty  to  give  a  short  outline  of  the  same.  This  is  the  onb 
excuse  I  have  for  making  these  digressions  in  a  Materk 
Medica  and  Therapeutics. 

As  the  reader  will  see,  this  work  is  divided  into  twc 
parts.  Part  one  is  devoted  to  drugs  and  their  indication' 
as  used  by  the  Eclectic  school  of  medicine.  Part  two  i 
devoted  to  the  use  of  drugs  in  their  primary  form,  mostl} 
in  potencies,  except  in  a  few  instances  where  tincture 
are  specified.  In  the  preparation  of  this  work  the  write 
has  freely  consulted  all  the  best  works  on  the  subject 
of  our  school  of  medicine  as  well  as  many  others.  How 
ever,  those  which  deserve  special  credit  are  Ellingwooc 
Scudder,  Webster,  Locke,  Watkins  and  E.  B.  Nash. 

In  the  hope  that  this  work  will  prove  what  it  was  ir 
tended  to  be,  a  guide  for  students  and  a  handy  referenc 
book  for  the  busy  practitioner, 

I  am  fraternally, 

F.   J.  PKTKRSEN,  M.D. 


• 
PART  I 


FORMS  OF  MEDICINE. 

Cerates :  Are  of  a  consistency  between  ointment  and 
plaster.  They  are  soft  enough  to  spread  easily,  but  do 
not  liquefy  when  heated  to  body  heat.  They  adhere  to 
the  skin  when  applied.  Their  main  constituent  is  wax. 

Collodions:  Fluid  solutions  of  gun  cotton  in  a  mix- 
ture of  alcohol  and  ether. 

Decoctions :  Are  prepared  by  boiling  the  drug  in 
water.  Take  coarsely  ground  or  bruised  drug  or  drugs 
i  part,  cold  water  20  parts  and  boil  for  15  to  20  minutes, 
then  cool  and  strain.  Powerful  drugs  should  only  be 
used  in  smaller  quantities,  as  much  less  of  them  is  re- 
quired. As  decoctions  ferment  in  a  short  time  they  should 
be  renewed  often.  They  should  never  be  made  in  tin 
dishes. 

Dilutions,  Homoeopathic :  In  the  low  potencies  the 
writer  makes  his  own  dilutions,  say  up  to  the  2nd  or  3rd. 
By  taking  10  drops  of  homoeopathic  mother  tincture  or 
of  Lloyd's  specific  medicines  to  90  drops  of  95%  alcohol, 
and  shaking  the  mixture  a  few  hundred  times,  we  have 
our  first  dilution.  Of  the  first  dilution  10  drops  to  90 
drops  of  95  %  alcohol,  will  give  us  the  2nd  dilution. 
Larger  quantities  may  be  used  in  the  same  proportion. 
The  higher  dilutions  the  writer  prefers  to  buy  ready 
made. 

Emulsions :  By  emulsions  we  understand  a  mixture  of 
oils  with  water  in  a  mechanical  way,  not  distributing  it 
chemically.  Substances  used  for  this  purpose  are  acacia, 
gum  resins,  yolks  of  eggs,  etc. 

Extracts :  Are  prepared  by  evaporating  alcoholic  or 
other  vegetable  medicinal  solutions. 

Fluid  Extracts :  Alcoholic  fluid  preparations  of  vege- 
table drugs,  prepared  by  percolation  and  subsequent  con- 
centration of  a  portion  of  the  percolate  by  evaporation. 
In  some  cases  water  or  glycerine  may  be  used  as  a  men- 
strum.  However,  in  most  cases,  alcohol  is  the  menstrum 
needed.  Fluid  extracts  are  so  constructed  as  to  represent 


0  M  \TERTA   MEDICA  AND  CLINICAL  THERAPEUTICS 

one  grain  of  the  crude  drug  in  each  minim  of  fluid  ex- 
tract. 

Glycerites :  Mixtures  or  solutions  of  medicine  in  gly- 
cerine. 

Infusions:  Are  solutions  of  soluble  constituents  of 
vegetable  drugs,  prepared  by  pouring  hot  water  on  same, 
and  allowing  them  to  macerate  and  cool.  Coarsely 
ground  or  bruised  bark,  herbs,  flowers,  seeds  or  roots 

1  part  to  boiling  water  20  parts ;  cover    tightly    and    let 
stand  in  a  warm  place  for  20  minutes  to  y2  hour  and  then 
strain.     Of  powerful  drugs  much  less  must  be  used,  and 
then   great   care   exercised.      Infusions    should    never    be 
made  in  tin  dishes.     As  the  infusions  soon  ferment  they 
should  be  renewed  often.     In  most  cases,  if  procurable, 
the  green  drugs  are  preferable. 

Liniments:  Are  fluid  or  semi-fluid  preparations  gen- 
erally of  oils,  although  alcohol,  etc.,  may  be  employed. 
Olive  oil  or  cottonseed  oil  are  often  used  as  a  base. 

Medicated  Waters :  Are  solutions  of  volatile  sub- 
stances. May  be  prepared  by  direct  solution  in  hot  or 
cold  water,  or  by  filtering  water  through  some  inert 
powder,  or  cotton  impregnated  with  volatile  body.  These 
waters  are  chiefly  employed  as  vehicles. 

Medicated  Wines :     Are  fluid  preparations  in  which 
soluble  medical  principles  are  dissolved  in  wines. 

Oleoresins :  Consist  generally  of  fixed  or  essential  oils, 
associated  with  resins,  and  extracted  from  the  crude  drug 
with  ether,  the  latter  evaporating  later. 

Ointments :  Fatty  preparations  about  the  consistency 
of  lard  or  petrolatum,  which  usually  constitute  their  bulk. 
When  applied  to  the  skin  they  become  fluid  by  the  heat  of 
the  body. 

Pills :  Composed  of  a  medicine  or  medicines,  combined 
with  substances  which  cause  them  to  retain  their  shape 
and  firmness.  They  may  be  sugar,  chocolate  or  gelatin 
coated  as  desired. 

Plasters :  Usually  applied  to  the  body  on  a  fine  piece 
of  fabric.  They  require  heat  to  spread  them.  When  ap- 
plied to  the  body  they  adhere;  but  do  not  become  soft. 


FORMS     OF     MEDICINE  9 

Tiiey  are  chiefly  composed  of  some  resinous  body.     May 
be  medicated  or  not. 

Poultices  :  Substances. that  are  tenacious  when  wet  and 
accommodate  themselves  to  the  parts.  They  are  applied 
to  relaxed  tissue  and  also  to  exclude  air.  May  be  med- 
icated or  not. 

Powders :  These  are  medicines  reduced  to  various  de- 
grees of  fineness.  The  degree  is  usually  designated  by 
number;  the  numbers  having  reference  to  the  number  of 
meshes  to  the  linear  inch  in  the  sieve  through  which  the 
powder  has  been  passed.  The  U.  S.  P.  divides  them  as 
follows,  viz. :  A  very  fine  powder  is  No.  80;  a  fine  powder 
No.  60;  a  moderately  fine  powder  No.  50;  a  coarse  powder 
No.  20. 

Resins :  Are  the  solid  resinous  constituents  of  vege- 
table substances  generally  prepared  by  precipitation  of  an 
alcoholic  solution  of  the  drug  in  acidulated  or  simple 
water. 

Spirits:  Solutions  of  essential  oils  and  other  volatile 
substances  in  alcohol. 

Suppositories :  Pressed,  rolled  or  moulded  solid 
bodies,  generally  prepared  from  cocoa  butter  and  the  de- 
sired medical  agent.  Used  in  pelvic  orifices.  Sometimes 
wax  is  added  to  prevent  their  melting  too  easily. 

Syrups :  Concentrated  aqueous  solutions  of  sugar  or 
thick  solutions  of  sugar  in  medicated  aqueous  solutions. 

Tablets :  Are  medicated  candies  either  moulded  or 
compressed.  They  are  usually  prepared  from  triturations 
with  the  addition  of  some  harmless  ingredient. 

Tinctures :  Are  practically  identical  with  fluid  ex- 
tracts, but  much  lower  in  strength.  Prepared  by  percola- 
tion, maceration,  generally  the  former.  May  be  prepared 
from  fresh  or  bruised  herbs.  The  average  proportion 
being  2  ounces  of  the  drug  to  I  pint  of  diluted  alcohol. 

Tinctures :  Lloyd's  Specific  Medicines  are  of  a  special 
strength  and  purer  and  clearer  than  the  ordinary  tinctures. 
In  fact,  they  are  stronger  and  much  more  reliable  than 
fluid  extracts.  The  green  drug  is  used  in  their  manufac- 
ture. 


'IO  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Triturations :  Are  made  by  triturating  (rubbing)  a 
medical  substance  with  sugar  of  milk,  the  latter  serving 
simply  as  a  diluent ;  they  generally  being  made  of  a  cer- 
tain drug  and  sugar  of  milk.  There  are  two  methods  in 
use,  one  in  which  one  part  of  the  drug  is  triturated  with 
nine  parts  of  sugar  of  milk.  This  is  known  as  the  decimal 
system.  The  other  method  is  to  triturate  I  part  of  the 
drug  with  99  parts  of  sugar  of  milk,  this  being  known  as 
the  centesimal  system. 

Vinegars :  Solutions  of  active  constituents  of  a  drug  or 
drugs  in  vinegar  or  diluted  acetic  acid. 


CLASSES  OF  REMEDIES. 

Abortifacients  :  Remedies  that  produce  abortion. 

Alteratives :  Such  remedies  as  increase  metabolism 
and  thus  favor  elimination  of  waste  products  from  the 
system. 

Anaphrodisiacs :  Remedies  that  act  as  sexual  sedatives 
and  in  this  way  decrease  sexual  desire. 

Anhidrotics :  Will  suppress  or  diminish  perspiration. 

Antagonists:  Remedies  that  will  counteract  the  action 
of  other  remedies,  or  oppose  their  action. 

Anthelmintics :  Will  expel  or  destroy  worms  in  the  in- 
testinal tract. 

Antidotes :  Remedies  that  will  neutralize  or  counteract 
the  action  of  poisons. 

Antigalactagogues :  Remedies  that  decrease  the  se- 
cretion of  milk. 

Antilithics :  Remedies  that  prevent  the  formation  of 
calculi,  or  counteract  their  formation. 

Antiperiodics :  Remedies  that  counteract  or  antagon- 
ize diseases  that  have  a  periodic  tendency. 

Antiphlogistics :  Remedies  that  will  reduce  or  counter- 
act inflammatory  processes. 

Antipyretics :  Remedies  that  reduce  the  temperature 
of  the  body  either  by  decreasing  oxygenation  or  by  in- 
hibiting the  heat  center  in  the  brain. 


CLASSKS    OF    KKMKDIKS  II 

Antispasmodics  control  spasms  and  convulsions,  act- 
ing on  sets  of  nerves,  or  some  particular  nerve  or  tract. 

Antizymotics :  Such  remedies  as  will  prevent  or  an- 
tagonize fermentation,  including  antiseptics  and  disin- 
fectants. 

Apositics :  Remedies    that   will    suspend   hunger. 

Aphrodisiacs :  Such  remedies  as  will  increase  or  stim- 
ulate sexual  desire  and  power. 

Astringents :  Remedies  that  in  contact  with  tissues  of 
the  body  cause  them  to  contract  and  check  secretion. 

Carminatives:  Medicines  that  expel  flatus  from  the 
gastrointestinal  tract  and  thus  relieve  pain  produced  by 
pressure. 

Classes  of  heart  remedies :  These  are  divided  into 
stimulants  or  tonic  and  sedative.  Vaso-motor  stimulants 
which  stimulate  vaso-motor  constrictor  nerves  and  thus 
increase  blood  pressure ;  vaso-motor  sedatives  which  act 
on  the  vasodilator  nerves  and  thus  decrease  blood  pres- 
sure. 

Classes  of  Intestinal  Remedies  :  Such  remedies  as  act 
on  the  intestinal  tract  and  produce  evacuation. 

Cholagogues  act  on  the  liver,  increasing  flow  of  bile, 
thus  causing  bilious  stool. 

Drastic  cathartics  are  violent  and  quick  in  action. 

Hydragogue  cathartics  produce  watery  stool. 

Laxatives  are  mild  in  their  action. 

Purgatives  produce  semi-solid  stool  and  are  more 
powerful  than  laxatives. 

By  this  can  be  seen  that  cathartics,  generally  speaking, 
are  purgatives,  but  whose  actions  are  different  according 
to  what  class  of  the  above  they  belong. 

Demulcents:  Mucilaginous  or  oily  substances  for  ex- 
ternal use  or  application  to  allay  irritation. 

Deodorants :  Destructive  to  offensive  odors. 

Depressants :  Have  a  depressing  effect  on  the  nervous 
action,  either  generally,  partially  or  locally,  and  are  di- 
vided into  classes : 

Anodynes  depress  the  nerve  centers  and  thus  relieve 
pain. 


12  MATLKIA    MKDICA    AND    CLINICAL    THERA  I'LTTICS 

Hypnotics  induce  sleep. 

Anaesthetics  depress  the  cerebro  spinal  centers,  and 
in  this  way  causes  insensibility.  Locally  applied  they 
cause  local  anaesthesia. 

Diaphoretics:  Increase  secretion  of  the  skin.  Suclor- 
ifics  produce  marked  perspiration,  while  the  simple  or 
mild  diaphoretics  only  produce  moisture  or  mild,  perspira- 
tion. 

Diuretics:  Increase  secretion  of  urine  by  their  action 
on  the  kidneys.  They  are  divided  into  depurants  which 
increase  solids  in  the.  urine,  and  hydragogue,  which  in- 
crease the  watery  elements  of  the  urine. 

Emetics :  May  act  as  follows,  viz. :  by  contact  with 
terminals  of  the  pneumogastric  nerve  in  the  stomach  ; 
by  acting  on  the  vomiting  center  in  the  brain,  or  by  act- 
ing directly  or  indirectly  through  the  nervous  system. 

Emmenagogues :  Remedies  that  stimulate  the  mens- 
trual flow. 

Emollients:  Remedies  used  for  external  application  to 
soften  tissue. 

Escharotics:  Substances  which,  if  applied  to  the  skin, 
will  produce  eschars:  in  other  words,  caustics. 

Excitants :  Stimulate  nerves  beyond  their  normal  ac- 
tion, and,  if  continued  or  given  in  too  large  doses,  will 
cause  irritation  or  spasms  of  the  muscles.  In  these  c 
the  mental  faculties  will  be  excited  and  confused.  They 
may  also  act  through  the  nerves  on  a  set  of  muscles  <>r 
certain  muscles. 

Expectorants:  Such  remedies  as  will  increase  or  pro- 
mote the  secretion  from  the  bronchial  mucous  membrane  ; 
these  may  be  stimulating  or  depressing. 

Galactagogues :  Such  remedies  as  will  increase  the  se- 
cretion of  milk  by  stimulating  the  lacteal  glands. 

Hemostatics :  Remedies  that  will  arrest  hemorrhages 
are  termed  hemostatics.  These  may  be  local  or  general. 
They  are  sometimes  called  styptics. 

Hepatics:  Pertaining  to  the  liver  and  generally  refer 
us  to  remedies  which  exert  a  direct  influence  on  the  liver. 


CLASSES      OK      KKMK!>!KS  13 

Parasiticides:  Any  substance  that  -will  destroy  para- 
sites. 

Parturifacients:  Remedies  that  hasten  parturition  by 
increasing  uterine  contractions. 

Refrigerants :  Reduce  the  bodily  heat. 

Restoratives :  These  are  remedies  that  will  supply  any 
lacking  elements  to  the  system  either  by  chemical  changes 
or  direct  action. 

Sedatives :  Are  remedies  that  relieve  nervous  irrita- 
tion, decrease  nerve  activity  and  have  a  soothing  influ- 
ence on  the  nerves  on  which  they  act.  They  are  divided 
into  general,  local  and  special  according  to  their  action, 
whether  they  act  on  the  general  nervous  system,  locally, 
or  on  certain  nerves  only. 

Sialagogues  :  Remedies  that  increase  the  flow  of  saliva. 

Stimulants :  Are  agents  that  stimulate  nerves  to  nor- 
mal action.  Some  act  on  the  general  nervous  system; 
others  on  special  nerves. 

Tonics :  Remedies  which  strengthen  the  nervous  sys- 
tem, improve  nutrition,  restore  waste  material  and  favor 
normal  activity  of  all  the  organs  of  the  body. 

Trophies :  Such  agents  as  supply  nutrition  or  stimu- 
late the  tissues  to  absorb  the  required  nutrition  are  called 
trophies. 


POISONS  AND  THEIR  ANTIDOTES. 

In  poisoning,  emetics  or  the  stomach  pump  are  indi- 
cated if  the  poison  has  not  yet  been  absorbed,  and  where 
other  less  severe  means  are  not  effective.  In  order  to 
produce  vomiting  warm  water  may  be  given,  or,  if  neces- 
sary, a  tablespoonful  of  mustard  stirred  to  creamy  con- 
sistency with  water ;  this  to  be  followed  by  large 
draughts  of  wrater.  Generally  this  is  later  followed  by 
demulcent  drinks,  such  as  flaxseed,  whites  of  eggs  beaten 
up  in  water,  slippery  elm,  etc.  No  emetics  should  be 
given,  however,  in  poisoning'  by  acetic,  hydrochloric  or 
muriatic,  nitric  and  sulphuric  acid. 

Acids — Acetic,     Hydrochloric,    Nitric    and    Tartaric : 


14  MATEK1A  MEDICA  AND  CLINICAL  THERAPEUTICS 

Use  alkalies,  oil,  stimulants,  demulcent  drinks ;  large 
draughts  of  water  or  milk  'with  whiting,  baking  soda 
or  magnesia ;  strong  soap  suds  to  neutralize  acid ;  olive 
oil ;  these  to  be  followed  by  demulcent  drinks. 

Acid  Chromic:  Chalk,  milk,  demulcent  drinks;  emet- 
ics if  necessary. 

Acid  Hydrocyanic  :  Stomach  pump  if  possible.  Am- 
monia, atropine  and  diluted  cardiac  stimulants  ;  artificial 
respiration.  Carbonate  of  ammonia  3  to  5  grains  every 

15  to  30  minutes.     Fresh  air  is  important. 

Acid   Nitric :  Alkalies,   soap,   demulcents,   stimulants. 

Acid,  Oxalic :  Lime,  chalk. 

Acid,  Sulphuric :  Chalk,  magnesia,  soap,  demulcent 
drinks. 

Aconite :  Emetics,  afterwards  powerful  stimulants, 
both  externally  and  internally.  Nux  vomica  has  been 
used  with  success.  Animal  charcoal  followed  by  emetics 
is  recommended.  Carbonate  of  ammonia  5  grains  every 
20  minutes  to  y2  hour  is  very  good. 

Alcohol :  Evacuate  stomach ;  coffee,  electricity,  amyl. 
nitrite,  hot  and  cold  douches. 

Alkalies :  The  caustic  alkalies,  such  as  ammonia,  po- 
tassium, soda,  etc.  Try  and  induce  vomiting  with  large 
quantities  of  .water.  Give  lemon  juice  diluted,  olive  oil 
or  vinegar.  The  white  of  eggs  beaten  up  with  water  or 
demulcent  drinks  of  slippery  elm,  linseed  or  flaxseed. 

Ammonium  and  Its  Compounds :  Demulcents ;  vege- 
table acids. 

Antimony  and  Its  Compounds :  Tannic  acid,  demul- 
cent drinks,  opium,  alcohol,  external  heat,  strong  tea  or 
coffee  ;  emetics  if  necessary. 

Antipyrin :  Recumbent  position,  warmth,  mix  vomica, 
stimulants,  oxygen.  Artificial  respiration. 

Apomorphine :  Cardiac  and  respiratory  stimulants. 

Arsenic :  Persulphate  of  iron  solution.  Solution  of 
iron  chloride  and  calcined  magnesia,  mix  in  y2  cup  of 
water,  and  when  well  diluted  give  to  patient.  The  water 
should  be  warm.  Ferric  hydrate  is  a  good  antidote,  it 
combining  with  arsenic,  forming  arseniate  of  iron,  which 


POISONS     AND     THEIR    ANTIDOTES  15 

is  a  harmless  salt;  35  parts  are  needed  to  neutralize  one 
part  of  arsenic. 

Auri  et  Sodii  Chloridum :  Albumen  is  an  antidote. 
Bryonia :  Infusion  of  galls. 

Belladonna :  Emetics,  stomach  pump,  iodine,  purga- 
tives, ammonia,  cold  to  head  in  comatose  stage.  External 
stimulants. 

Caffeine :  Emetics,  stimulants,  warmth,  morphine, 
atropine. 

Camphor:  Evacuate  stomach,  give  stimulants. 
Warmth,  hot  and  cold  douches. 

Cannabis  Indica:  Evacuate  stomach  and  give  stimu- 
lants. 

Carbolic  Acid:  Olive  oil  until  vomiting  is  produced;  ff 
no  other  remedy  is  at  hand  use  vinegar  or  diluted  acetic 
acid.  Alcohol  is  the  best  in  local  poisoning  from  carbolic 
acid. 

Cantharides :  Stomach  pump,  demulcents,  opiates  and 
stimulants.  Oils  are  injurious  and  should  not  be  used. 

Chloral  Hydrate :  First  give  emetics,  then  stimulants, 
such  as  brandy,  digitalis,  nux  vomica.  The  heart  must 
be  stimulated.  Use  also  local  means  to  stimulate. 

Chloroform:  Draw  out  tongue,  use  faradism.  Hot 
and  cold  douches.  Amyl  nitrite  or  ammonia.  Hypoder- 
mic injection  of  strychnine  or  nitroglycerine.  Dilate  the 
sphincter  ani  by  all  means,  as  this  is  the  best  and  quickest 
way  to  cause  reaction.  Slapping  the  soles  of  the  feet  is 
very  good.  If  taken  by  mouth  evacuate  the  stomach  and 
give  stimulants. 

Coal  Gas :  Fresh  air,  artificial  respiration,  ammonia, 
oxygen,  coffee,  hot  and  cold  douches.  The  first  measure 
should  be  to  put  patient  in  a  position  the  reverse  from 
standing  to  eliminate  gas,  and  then  start  respiration  by 
proper  means,  stimulation  being  very  important. 

Conium :  Evacuate  stomach,  then  give  vinegar. 

Croton  Oil :  Evacuate  stomach,  demulcent  drinks ; 
camphor;  morphine;  stimulants;  poultice  to  abdomen. 

Cocaine :     i  %  solution  of  glonoine  in  one  or  two  drop 


l6  MATERTA   MEDICA  AND  CLINICAL  THERAPEUTICS 

doses  is  very  good.     Artificial  respiration.     Amyl  nitrite 
or  other  powerful  stimulants. 

Digitalis :  Evacuate  the  stomach  at  once  by  warm 
water  or  drinks;  sinapisms  to  wrists  and  ankles.  This 
should  he  followed  by  stimulants.  Carbonate  of  ammo- 
nia in  5  grain  doses  every  V2  hour  or  less.  Tannic  and 
gallic  acid  are  good.  Patient  should  in  all  cases  main- 
tain the  recumbent  position. 

Gelsemium :  Brandy,  quinine  or  aromatic  spirits  of 
ammonia.  When  indicated  tincture  of  opium  may  bt 
given  with  above. 

Hyoscyamus :  Emetics,  stomach  pump,  stimulants, 
acids,  galvanism. 

Iodine  :  Starch  water  ;  amyl  nitrite.  Emetics  followed 
by  demulcent  drinks  if  necessary. 

lodoform :  See  iodine. 

Jaborandi:  1-60  grain  of  atropine  will  counteract  t he- 
effect  of  an  overdose. 

Lead  Poisoning:  Sulphate  of  soda,  sulphuric  acid  and 
sulphate  of  magnesia. 

Lead  Acetate:  Evacuate  stomach,  dilute  sulphuric 
acid;  Epsom  salts;  milk;  morphine;  potassium  iodide  to 
eliminate  poison. 

Lobelia  Inflata :  Evacuate  stomach;  tannic  or  gallic 
acid  ;  stimulants  ;  strychnia  ;  warmth  ;  recumbent  position. 

Morphine :  Cocaine  is  the  best  antidote ;  caffeine. 
Permanganate  of  potash  is  very  good  if  poison  is  not 
absorbed  by  the  system.  Keep  patient  moving. 

Mercuric  Chloride :  Albumen  in  some  form.  Raw 
whites  of  egg  or  flour;  evacuate  stomach;  opium;  potas- 
sium iodide. 

Nitroglycerin :  Recumbent  position ;  cold  to  head ; 
atropine. 

Nux  Vomica :  Chloral  in  large  doses  is  useful.  Mor- 
phia. Our  best  antidote,  however,  is  jaborandi  in  large 
and  often  repeated  doses,  gradually  decreasing  doses  and 
giving  at  longer  intervals  as  symptoms  subside. 


POISONS    AND    THEIR    ANTIDOTES  \*J 

Nitrate  of  Silver :  Solution  of  salt,  say  4  drachms  in 
warm  water  as  an  emetic. 

Opium :  Active  cathartic.  The  patient  should  be  kept 
in  motion  and  cold  water  dashed  on  the  head  and  shoul- 
ders. Give  tincture  of  green  coffee.  Belladonna.  Slap 
the  soles  of  the  feet. 

Physostigma :  Nux  vomica  or  atropine. 

Phosphorus  :  Emetic  of  sulphate  of  copper.  Give  also 
copious  draughts  of  water  with  magnesia.  Turpentine  is 
a  partial  antidote. 

Resorcin  :  Induce  vomiting ;  give  olive  oil ;  stimulants. 

Rhus  Tox. :  Grindelia  robusta  internally  and  locally  is 
our  best  remedy.  Echinacea  in  large  doses  internally  and 
locally  in  25%  solution  is  good  treatment.  Rhus  tox.  I2d 
in  the  primary  form  is  useful  in  rhus  tox.  poisoning.  In 
recent  cases,  locally  a  solution  of  sodium  hyposulphite  is 
recommended  by  some.  Others  have  used  locally  a  mild 
solution  of  carbolic  acid  and  claim  success  in  recent  cases. 

Santonin  :  "Evacuate   stomach  ;   stimulants  ;   chloral. 

Savin :  Evacuate  stomach ;  castor  oil  in  large  doses. 
Morphine.  Poultice  to  abdomen. 

Silver  Salts:  Salt  and  water;  evacuate  stomach;  a 
large  amount  of  milk. 

Strophanthus :  Coffee  and  brandy  should  be  given 
freely  to  counteract. 

Stramonium  Leaves  :  Evacuation  of  the  stomach,  after 
which  vinegar  and  water  may  be  administered,  followed 
by  mucilaginous  drinks,  with  strong  coffee  and  any  stim- 
ulating1- cordial,  according  to  the  prostration. 

Snake  Bites :  Rattle  snakes,  etc.  Echinacea  is  our 
best  remedy.  In  these  cases  it  must  be  given  in  very 
large  doses.  In  adults  say  20  to  30  drops  every  y2  hour, 
and  this  to  be  continued  for  some-  hours,  then  as  the 
si-vcrer  symptoms  subside  gradually  decrease  dose  and 
give  at  longer  intervals.  Also  apply  the  tincture  pure 
or  little  diluted  with  water  to  the  wound  freely.  Locally 
formaldehyde  diluted  is  a  good  application.  In  cases 
where  depression  is  great  muriate  or  carbonate  of  am- 
monia in  solution  mav  be  alternated  with  echinacea.  Lo- 


l8  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

cally   chloroform   on   a   flannel   applied   over   swelling   is 
recommended. 

Tarantula  Bites  and  other  poisonous  spiders  or  insects 
use  echinacea  as  directed  under  snake  bites,  only  modify 
the  dose  in  cases  that  are  not  so  severe.  In  other  words 
the  dose  depends  on  the  severity  of  the  case.  In  cases 
where  depression  is  great  muriate  or  carbonate  of  ammo- 
nia in  solution  may  be  alternated  with  echinacea. 

Tobacco :  Carbonate  of  ammonia  5  grains  as  a  dose 
is  a  good  antidote. 

Veratrum  Viride :  Morphine  or  laudanum  with 
brandy,  coffee.  Recumbent  position. 


APPEARANCE  OF  TONGUE  AFTER  SOME  POIS- 
ONS ARE  TAKEN  BY  THE  MOUTH. 

Acid,  Carbolic  :  Mucous  membrane  is  shriveled  and 
puckered  into  folds.  The  spots  where  the  acid  has 
touched  are,  if  acid  is  pure,  white.  If  acid  is  impure  spots 
will  be  brownish. 

Acid,  Chromic :  Tongue  is  shriveled  and  of  a  lemon 
yellow  color. 

Acid,  Hydrochloric :  Tongue  a  lemon  yellow  color. 

Acid,  Nitric  :  Tongue  is  shriveled  and  of  a  lemon  yel- 
low color. 

Acid  Nitrate  of  Mercury :  Color  of  tongue  red. 

Acid,  Sulphuric :  Tongue  has  a  parchment-like  color 
or  appearance.  At  first  it  is  white,  then  gray  or  brownish 
gray,  then  gets  covered  with  a  thick  slough  which  when 
it  separates  leaves  a  swollen  excoriated  patch. 

Ammonia :  If  swallowed  in  poisonous  doses  undiluted 
will  make  the  tongue  white. 

Cantharides :  Produces  large  lingual  blisters  and 
sores. 

Corrosive  Sublimate :  Tongue  appears  white  and 
shriveled,  and  the  papillae  at  the  base  are  unusually  large. 


INCOMPATIBLE^  19 

Potash  Caustic  :  Softens  mucous  membrane,  making  it 
pulpy  and  easily  detached. 

Sodium  Caustic :  Softens  mucous  membrane,  making 
it  pulpy  and  easily  detached. 


INCOMPATIBLES. 

Aconite :  Alkalies,  alkaline  earths  and  their  carbon- 
ates; vegetable- astringents,  lime  water. 

Alcohol :  With  strychnine. 

Belladonna:  Alkalies,  tannin,  vegetable  astringents, 
opium,  gelsemium. 

Bromides :  Such  agents  as  stimulate  the  vaso-motor 
nerves,  as  digitalis,  ergot,  belladonna,  etc.,  are  incom- 
patible with  the  bromides. 

Codeine:  With  chloral  hydrate. 

Cocaine :  With  morphine. 

Carbolic  Acid :  With  chloral  hydrate. 

Colchicum :  Acid  renders  the  vinous  tincture  drastic ; 
alkalies  render  it  milder  in  its  operation. 

Conium :  Strong  acids,  alkalies,  tannin,  etc. 

Digitalis:  Salts  of  iron  and  lead,  tannin,  vegetable  as- 
tringents. 

Gelsemium:  Opium,  belladonna  or  its  alkaloid  atro- 
pine. 

Hyoscyamus:  Acetate  of  lead,  nitrate  of  silver,  sul- 
phate of  iron,  tannin  and  vegetable  astringents. 

Infusions:  With  metallic  salts. 

Infusions  and  Bitter  Tinctures :  With  metallic  salts  of 
iron  or  lead. 

Iron:  Should  not  be  given  with  medicine  or  anything 
containing  tannic  acid. 

Oils,  Essential  and  Fixed :  With  aqueous  liquids. 

Opium  :  Alkalies,  alkaline  earths  and  carbonates,  ni- 
trate of  silver,  salts  of  copper,  iron,  zinc  and  lead,  tannin 
and  gallic  acid. 

Pepsin :  Alkalies,  alcohol,  tinctures. 


2O  MATERIA   MEDICA   AND  CLINICAL  THERAPEUTICS 

Stramonium:  Caustic,  fixed  alkalies  or  soda  and 
potash. 

Strychnine:  Alcohol,  chloral,  hydrocyanic  acid,  nico- 
tine. 

Vegetable  Preparations:  That  contain  tannic  acid  are 
incompatible  with  salts  of  iron  and  lead. 


CHEMICAL  INCOMPATIBLES. 

Acids :  In  general  with  alkalies  and  weak  salts  of 
other  acids. 

Acid  Chromic:  Mixed  with  sugar,  glycerine  or  other 
alcohol  producing  agents  will  explode. 

Acid  Hydrochloric:  With  alkalies  and  weak  salts  of 
other  acids. 

Acid  Hydrocyanic  :  With  salts  of  iron,  chlorides,  ni- 
trates, sulphates.  Mixed  with  metallic  salts  such  as 
stated  as  well  as  carbonates,  hydrates,  nitrate  of  bismuth 
or  calomel  is  poisonous. 

Acid  Nitric:  Mixed  with  phosphorus  or  glycerine  will 
explode  and  is  dangerous.  Nitric  acid,  muriatic  acid  and 
tinct.  mix  vornica  explode  after  a  few  hours. 

Acid  Nitro-Hydrochloric :  M  ixed  with  dry  organic 
substances  may  explode. 

Acid  Salicylic :  Iron  and  its  compounds,  lime  water, 
iodide  of  potassium. 

Acid  Tannic:  With  glycerine,  chlorate  of  potassium, 
will  explode  on  addition  of  water. 

Acacia  Gum:  Alcohol,  borax,  ether  and  etheral  tinc- 
tures. Iron,  mineral  acids  and  solution  of  lead. 

Albumen  and  gelatine  and  substances  containing'  them 
are  incompatible  with  tannic  acid,  or  anything  contain- 
ing it. 

Arsenic:  Tannic  acid,  magnesia,  lime  salts  and  oxides 
of  iron. 

Bismuth  Subnitrate  :   Mercury,  sulphur,  tannin. 
Camphor :  With  water. 


CHEMICAL      TNCOMPATIBLES  »  21 

Chlorates:  With  glycerine  and  tincture  of  chloride  of 
iron  and  chloride  of  lime  triturated  with  sulphur  in  a 
mortar  have  produced  explosions. 

Chloride  of  Iron :  With  glycerine  and  chlorate  of  po- 
tassium if  warmed  will  explode. 

Chloral  Hydrate :  Ammonia,  alkalies,  mercury  com- 
pounds, alcohol,  potassium  bromides  and  cyanides. 

Chlorides :  Hydrogen  peroxide,  lead  and  silver  salts. 

Chloroform:  Amyl  nitrite. 

Hydrogen  Peroxide :  Alkaline  citrates. 

Iodine  Tincture :  With  ammonia  forms  the  iodide  of 
nitrogen  which  becomes  highly  explosive,  especially  if 
triturated  when  mixed  with  water. 

Iron  Salts:  With  anything  that  contains  tannic  acid. 

Mucilage :  With  iron  salts,  alcohol  and  acids. 

Morphia  Muriate:  Added  to  the  oxide  of  silver  is  ex- 
plosive if  it  be  mixed  quickly  with  extract  of  gentian,  but 
if  mixed  slo-wly  it  is  more  safe. 

Oxidizers :  Such  as  chromic  acid,  nitric  acid,  hydro- 
chloric acid,  chloral,  potassium  nitrate,  potassium  per- 
manganate, etc.,  mixed  with  the  readily  oxidizable  sub- 
stances, such  as  oils,  phosphorus, -ether,  turpentine,  dry 
organic  substances,  tannin,  sugar,  sulphur,  the  sulphites, 
vegetable  powders,  glycerine,  alcoholic  or  ethereal  tinc- 
tures result  in  explosions. 

Potassium  Chlorate:  To  mix  with  other  salts  is  dan- 
gerous. Mixed  with  powdered  catechu  or  powdered  nut 
galls  it  will  explode.  Mixed  with  oils  and  ether  it  will 
explode.  With  alcohol,  ammonia,  ethereal  oils,  glycerine 
and  organic  substances  is  dangerous. 

Potassium  Permanganate :  Mixed  with  alcohol,  am- 
monium salts,  ethereal  oils,  glycerine  and  organic  sub- 
stances is.  dangerouss. 

Potassium  Cyanide:  Mixed  with  metallic  salts,  such 
as  hydrates,  carbonates,  subnitrates  or  subchlorides,  as 
the  carbonates  or  nitrates  of  bismuth,  or  with  calomel, 
is  poisonous. 

Potassium  Iodide:  Very   strong  acids    and    salts    of 


22  MATKRTA   ATEDTCA  AND  CLINICAL  THERAPEUTICS 

same,  alkaloids,  iron,  potassium  chlorate,  nitrate  of  sil- 
ver, mercurial  salts.  Mixed  with  chlorate  of  potassium 
it  is  very  poisonous. 

Silver  Nitrate:  With  acids  (with  exception  of  nitric 
acid)  alkalies,  bromides,  carbonates,  iodides,  sulphur. 

Sodium  Biborate:  Sodium  bicarbonate,  glycerine  and 
water,  if  corked,  are  liable  to  explode. 

Sodium  Bicarbonate :  With  acids  and  their  salts,  al- 
kaloids, metallic  salts,  tannic  acid. 

Sodium  Bromide:  Mineral  acids,  mercury  and  its  com- 
pounds, chlorine  water. 

Sodium  Hyphophosphite  with  potassium  chlorate  is 
explosive  if  water  is  added. 

Urva  Ursi  Fluid  Extract:  With  certain  samples  of  the 
spirits  of  nitre  or  chromic  acid  with  glycerine,  perman- 
ganate of  potassium  with  glycerine,  nitric  acid  with  gly- 
cerine, nitrate  of  silver  with  creosote,  the  oxide  of  silver 
in  pill  with  extract  of  gentian,  potassium. 


CONTRA-INDICATIONS  FOR  DRUGS  IN  THEIR 
SECONDARY  ACTION. 

Apocynum  Cannabinum :  Contra-indicated  in  anaemia 
when  the  pulse  is  full  and  strong. 

Bromide  of  Potassium :  Contra-indicated  in  pale, 
anaemic  people: 

Cactus  Grandiflorus :  Contra-indicated  in  increased  ar- 
terial tension,  exaltation  of  nerve  force  and  excess  of 
strength  in  heart  action. 

California  Laurel  (Umbellaria  Californica)  :  In  active 
inflammation  of  the  intestinal  tract  and  stomach. 

Capsicum :  Contra-indicated  in  fevers,  inflammation, 
recent  cases  of  hemorrhoids  and  where  there  is  marked 
burning  sensation  in  the  rectum. 

Chloral  Hydrate :  Contra-indicated  where  there  is 
marked  depression,  cerebral  anaemia,  in  weak  heart,  es- 
pecially in  alcoholism. 


CONTRA-TNDTCATTONS  23 

Cinnamomum :  Contra-indicated  in  all  gastrointes- 
tinal tract  inflammation. 

Colchicum:  Contra-indicated  in  great  debility,  pro- 
fuse diarrhoea,  asthenic  form  of  g-Out. 

Colocynthis:  Contra-indicated  in  fever  and  inflamma- 
tion. 

Conium :  Contra-indicated  in  debility. 

Convallaria  Majalis:  Will  not  agree  when  tongue  is 
clean  and  red  or  there  are  red  edges  on  tongue  showing 
irritation.  Useful  where  there  is  a  heavy  coated  tongue, 
pale  and  flabby.  Do  not  use  when  tongue  shows  irrita- 
tion of  the  digestive  organs.  Also  in  fatty  degeneration 
of  the  heart. 

Copaiba :  Contra-indicated  in  inflammatory  stage  of 
gonorrhoea  with  great  irritation  and  profuse  discharge. 
In  some  cases  not  to  be  used  at  all. 

Elaterium :  Contra-indicated  in  cases  of  debility  and 
in  acute  intestinal  inflammation. 

Emetics:  Contra-indicated,  as  a  rule,  where  there  is 
marked  determination  of  blood  to  the  brain.  In  apoplexy, 
cerebral  congestion,  pregnancy,  hernia,  aneurism  or  some 
other  defect  of  the  circulatory  apparatus.  In  -marked 
gastro-intestinal  irritation  or  inflammation,  advanced 
stage  of  inflammatory  fever  and  in  cases  of  marked  de- 
bility. 

Ergot :  Contra-indicated  as  a  parturient  when  os  is 
hard  and  rigid  ;  when  there  is  an  obstruction  of  the  soft 
parts  or  excessive  debility. 

Epsom  Salts :  Contra-indicated  in  great  debility 
brought  on  by  old  age  or  wasting  disease.  Do  not  use  in 
cholera.  Dangerous  to  use  when  suffering  from  chills. 

Ferric  Acetate:  Contra-indicated   in  gastric  catarrh. 

Fowler's  Solution :  Contra-indicated  when  there  is  ir- 
ritability of  the  sympathetic  and  nerve  centers. 

Galium :  Contra-indicated  in  disease  of  a  passive  na- 
ture on  account  of  its  refrigerant  and  sedative  effects  on 
the  svstem. 


24  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Gelsemium:  Contra-indicated  when  eyes  are  dull,  pu- 
pils dilated  and  circulation  feeble.  Under  these  circum- 
stances it  is  poison  even  in  small  doses. 

Guaiac :  Contra-indicated  in  fever  or  vascular  excite- 
ment. 

Ipecac :  Contra-indicated  in  nausea  from  organic  dis- 
ease of  the  stomach. 

Jaborandi :  Contra-indicated  when  pulse  is  weak; 
weak  heart.  Never  give  in  large  doses  unless  specially 
indicated;  it  may  cause  diarrhoea  and  other  disagreeable 
symptoms.  Always  be  careful  in  giving  it  when  the 
heart  is  feeble. 

Juniperus :  Contra-indicated  in  inflammatory  condi- 
tions of  the  urinary  tract. 

Lobelia :  Contra-indicated  in  general  relaxation,  in 
dyspnoea  from  fatty  or  enlarged  heart  or  enfeebled  heart 
with  valvular  incompetence. 

Myrrh :  Contra-indicated  in  fever  and  inflammation. 

Opium :  Contra-indicated  where  there  is  congestion  or 
a  tendency  to  congestion.  When  there  are  kidney  affec- 
tions or  when  face  is  flushed,  contracted  pupils,  pulse  full 
and  bounding,  tongue  red  and  turgid,  eyes  blood-shot, 
pain-  in  head  with  wild  delirium :  In  such  cases  it  may 
kill  and  will  always  do  harm.  In  dry  skin,  dry  and  dirty 
tongue  and  where  there  is  a  lack  of  secretion. 

Origanum :  Contra-indicated  in  active  inflammation. 

Passiflora :  Contra-indicated  when  tongue  is  dirty  and 
heavily  coated.  In  insomnia  with  flushed  face  and  de- 
termination of  blood  to  the  brain.  In  such  cases  gelsem- 
ium  is  useful. 

Peppermint :  Contra-indicated  where  there  is  pain  or 
pressure  on  the  stomach,  inflammation  of  the  gastro-in- 
testinal  tract  indicated  by  dry,  possibly  contracted  tongue, 
with  red  edges  and  tip. 

Pichi :  Contra-indicated  in  structural  degeneration  of 
the  kidneys.  In  Bright's  disease. 

Podophyllum :  Contra-indicated  when  pulse  is  small 
and  wiry;  also  where  there  is  irritation  of  the  intestinal 
tract. 


CONTRA-INDICATIONS  25 

Potassium  Acetate :  Will  not  act  well  when  tongue  is 
red  and  pointed. 

Potassium  Iodide :  Contra-indicated  when  tongue  is 
red  and  pointed. 

Pulsatilla:  Contra-indicated  in  fevers,  inflammation 
and  determination  of  blood  to  the  head. 

Quinia  :  Contra-indicated  when  pulse  is  hard,  vibratile, 
wiry.  If  skin  is  dry  and  tongue  dry  it  will  not  give  good 
results.  If  stomach  is  alkaline  it  will  not  be  absorbed. 
Here  it  should  not  be  given  or  else  preceded  by  acid  or 
lemonade. 

Rochelle  Salts :  Contra-indicated  when  there  are  de- 
posits of  phosphates  in  the  urine. 

Rhus  Aromatica :  Contra-indicated  in  active  inflam- 
mation. Use  in  glycerine  and  not  in  water. 

Salicylic  Acid:  Contra-indicated  when  tongue  is  red 
and  pointed. 

Santal  Oil :  Contra-indicated  in  gonorrhoea  if  there  is 
swelling  of  the  testes. 

Savine :  Contra-indicated  in  active  inflammation. 

Scammonium  :  Contra-indicated  in  debility  and  inflam- 
mation. 

Senega  :  Contra-indicated  in  fevers. 

Serpentaria :  Contra-indicated  in  asthenic  conditions. 

Spotted  Spurge:  Contra-indicated  in  acute  diarrhoea 
or  dysentery. 

Squill :  Contra-indicated  in  inflammation  of  the  urinary 
organs  and  fevers. 

Strophanthus :  Contra-indicated  in  any  circulatory 
and  respiratory  troubles  of  vaso-motor  origin.  In  active 
hypersemia ;  also  in  tendency  to  visceral  hemorrhage.  In 
ascites  of  tumors,  hepatic,  splenic  and  pelvic. 

Sulphur:  Contra-indicated  in  fevers  and  inflammation. 

Thuja:  Contra-indicated  in  inflammation  of  the  uri- 
nary tract. 

Turpentine:  Contra-indicated  in  all  active  inflamma- 
tory conditions  of  the  urinary  organs. 

Veratrum   Viride :  Contra-indicated   where   inflamma- 


26  MATERTA  MEDTCA  AND  CLINICAL  THERAPEUTICS 

tion  has  resulted  in  marked  structural  changes.      In    as- 
thenic  cases  and  where  there  is  irritation  of  the  stomach. 

Zingiber:  Contra-indicated    in    any   inflammation,   es- 
pecially of  the  gastro-intestinal  tract. 

Zinc     Sulphate:  Contra-indicated     if   irritant    poisons 
have  been  taken. 


DOSES— VARIATION  AT  DIFFERENT  AGES. 

From  20  to  45  years  adult  doses  are  given  ;  50  years 
5-6;  60  years  4-5  ;  80  years  2-3  of  adult  doses. 

Doses  for  children  under  12  years:  The  dose  of  most 
medicines  must  be  diminished  in  proportion  of  the  age, 
to  the  age  increased  by  12.  Thus  at  4  years  the  dose  will 
be  1-4  of  that  of  adults,  viz.:  4-4 --{-12=4-1 6  or  1-4:  at  6 
years  it  will  be  6-6 -j- 12=6-1 8  or  1-3.  Of  narcotics  use 
even  less  than  above,  especially  in  infants. 

Another  way  of  calculating  doses  at  various  ages  is 
as  follows,  viz.:  "Faking  the  dose  of  an  adult  as  one,  or  i 
drachm  as  base.  The  dose  of  a  person  from  7  to  14  years 
will  be  1-2  or  1-2  drachm.  The  different  proportion  of 
doses  at  different  ages  will  be  :  from  4  to  7  years  1-3  ;  4 
years  1-4;  3  years  1-6;  2  years  1-8:  I  year  1-12  and  1-2 
year  1-15  of  one  or,  in  other  words,  1-15  of  the  adult  dosi- ; 
14  to  21  years  would  be  2-3  of  one. 

Hypodermic  Injections:  As  a  rule  hypodermic  injec- 
tions should  be  about  1-2  of  that  by  mouth.  l»y  rectum 
about  4-5  of  that  by  mouth. 

Comparison  of  Doses :  Approximately.  A  drop  corre- 
sponds with  a  minim:  a  teaspoonful  with  a  fluid  drachm: 
a  dessertspoonful  with  3  fluid  drachms;  a  tablespoonful 
with  1-2  ounce;  a  wineglassful  to  2  ounces;  a  teacupful 
with  a  gill  or  4  fluid  ounces. 

Solutions:  Rules  in  regard  to  making  solutions.  Tak- 
ing I  grain  as  a  base  of  i  %  solution  ;  we  mean  i  grain  of 
drug  or  i  drop  of  a  drug  to  100  drops  of  water.  There- 
fore, i  :iooo  would  mean  T-IO  of  a  grain  or  minim  to  TOO 
drops  of  water,  etc. 


WEIGHTS     AND     MEASURES  27 

WEIGHTS  AND  MEASURES. 

Apothecaries  Weight:  Dry  measure.  20  grains  (gr) 
make  i  scruple ;  3  scruples  ( 9 )  make  I  drachm ;  8 
drachms  (5)  make  I  ounce;  12  ounces  (^)  make  I  pound. 

Apothecaries  Measure:  60  minims  (m)  make  i  fluid 
drachm;  8  fluid  drachm  (£5)  make  i  ounce;  16  fluid 
ounces  (5)  make  i  pint;  8  pints  (O)  make  i  gallon 
(cong.) 

Metric  System: 

The  metric  system  is  based  upon  the  meter,  which  is 
the  standard  unit  of  length  of  that  system,  and  equal  to 
39.370432  inches,  or  about  10  per  cent,  longer  than  the 
yard. 

The  metric  unit  of  fluid  measure  is  the  liter — the  cube 
of  T-IO  meter,  or  1000  cubic-centimeters — equal  to  about 
34  fluid  ounces. 

The  metric  unit  of  weight  is  the  gram,  which  repre- 
sents the  weight  of  one  cubic-centimeter  of  water  at  its 
maximum  density.  It  is  equal  to  about  15  grains. 

One  cubic-centimeter  is  equal  to  about  16  minims. 

In  writing  prescriptions  it  is  sufficiently  accurate  and 
safe  to  consider  i  gram  as  exactly  equal  to  15  Troy 
grains,  and  to  consider  i  cubic-centimeter  as  equal  to  15 
minims.  We  accordingly  have  : 

i  Gram  equal  to  15  'troy  grains. 

I  troy  grain  equal  to  1-15  Gram. 

i  Cubic-centimeter  equal  to  1-4  fluid  drachm. 

i  fluid  drachm  equal  to  4  Cubic-centimeters. 

Hence — 

1.  To  convert  troy  grains  into  grams,  or  minims  into 
cubic-centimeters : 

a.  Divide  by  10,  and  from  the  quotient  substract  one- 
third  ;  or,  b.  Divide  by  15;  and 

2.  To   convert   apothecaries'  drachms  into  grams,  or 
fluid  drachms  into  cubic-centimeters,  multiply  by  4. 

The  Gram  and  the  Cubic-centimeter  (fluidgram) 
when  referring  to  liquids,  may  be  considered  as  equal 
quantities,  except  the  liquids  be  very  heavy  or  very  light. 

Measures  may  be  discarded  and  weights  exclusively 


28  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

employed,  if  preferred.     All  quantities  in  a  prescription 
would  then  be  expressed  in  Grams. 

The  average  "drop"  (water)  may  be  considered  equal 
to  0.05  C.  c.,  or  0.05  Gm.  An  average  teaspoon  holds  5 
C.  c.,  and  an  average  tablespoon  20  C.  c.  Decimal  num- 
bers should  be  used  as  far  as  practicable.  It  is  safe  to 
prescribe  30  Gm.  for  one  troy  ounce,  and  250  C.  c.  for 
eight  fluid  ounces. 


DOSES  OF  MEDICINES. 

In  the  medicine  table  that  follows,  the  doses  given  arc 
those  of  Lloyd's  Specific  Medicines.  They  are  reliable, 
of  uniform  strength  and  used  by  most  Eclectics.  However, 
good,  reliable  fluid  extracts  may  be  used  in  similar  doses. 

Most  herbs,  flowers,  leaves,  roots  and  barks  lose  their 
strength  by  drying,  therefore,  should  be  prepared  from 
the  green  herbs,  flowers,  leaves,  roots  or  bark.  As  Lloyd's 
Specific  Medicines  are  made  to  conform  with  these  rules, 
they  are,  as  stated  before,  reliable  and  of  uniform  strength. 
The  doses  given  are  the  average,  and  the  physician  has 
to  use  his  judgment  in  this  matter,  adopting  the  size  and 
frequency  of  close  to  conditions  present. 

Some  medicines,  and  under  certain  conditions  are 
best  given  before  meals ;  again  others  after  or  a  little 
after  meals.  That  every  physician  should  dispense  his 
own  medicines  will  find  more  and  more  favor,  and  in 
course  of  time  will  be  adopted  by  most  all  physicians. 
It  keeps  him  in  touch  with  the  drugs  he  uses  and  thus 
will  help  him  in  the  knowledge  and  study  of  his  materia 
medica  and  .therapeutics.  All  those  marked  with  S. 
should  be  kept  in  stock  in  4  ounce  quantities  at  least, 
while  those  marked  SS.  it  is  advisable  to  keep  in  pound 
lots.  Those  marked  P.  are  such  that  are  desirable  to  be 
carried  in  the  pocket  case.  Any  remedy  in  the  following 
table  that  is  marked  *  indicates  that  it  is  a  drug  outside 
of  Lloyd's  Specific  Medicines.  T  refers  us  to  teaspoon- 
ful. 


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MATERIA  MEDICA  AND  THERAPEUTICS. 


A  thorough  knowledge  of  the  physiological  and  thera- 
peutic action  of  drugs  is  very  important  to  any  physician. 
Too  many  ignore  this  fact  and  fail  where  the  better  thera- 
peutist, whose  knowledge  of  drugs  is  less  limited  suc- 
ceeds. To  become  fully  familiar  with  our  whole  materia 
medica  is  almost  a  life  study.  For  this  reason  the  best 
drugs  and  their  most  important  action  only  are  given, 
thus  enabling  the  reader  to  become  familiar  with  those 
medicines  upon  Avhich  his  success  depends. 

There  are  hundreds  of  drugs  that  are  good  or  of  some 
benefit  in  many  conditions,  but  what  we  want  is  the 
drug  that  does  the  work  best  and  that  fully  meets  the 
indications.  The  aim  of  the  author  has  been  to  give  the 
cream  of  our  materia  medica  in  a  manner  easily  compre- 
hended. 

Certain  drugs  that  are  only  indicated  in  a  certain  con- 
dition and  are  of  no  value  outside  of  that  are  omitted 
except  in  the  chapter  of  general  information. 

Although  single  drug  administration  is  favored  by 
many  it  is  very  often  impossible  to  adhere  to  this  rule.  A 
few  drugs,  if  indicated  and  if  not  antagonistic  in  their  ac- 
tion to  the  other  drug  or  drugs,  centainly  are  not  out  of 
place  and  often  assist  in  a  more  prompt  cure  of  the  con- 
ditions present.  In  chronic  troubles  especially,  this  often 
becomes  necessary.  A  thorough  knowledge  of  the  phy- 
siological and  therapeutic  action  of  drugs,  indications  and 
contra-mdications,  will  guard  against  mistakes. 

The  following  abbreviations  will  be  used  in  this  work, 
viz.  :Syn.  refers  us  to  synonyms ;  P.  E.  to  part  employed ; 
N.  O.  to  natural  order;  N.  H.  to  natural  habitat;  Prop,  to 
properties  in  which  latter  the  most  active  properties, 
where  possible,  are  mentioned  first. 

Acids:  The  physiological  action  of  various  mineral 
acids  locally  applied,  such  as  the  phosphoric,  nitric,  hy- 
drochloric, sulphuric,  are  so  much  alike  in  their  general 
action  that  it  is  not  necessary  to  classify  them  separately. 
All  strong  acids  are  escharotic.  They  destroy  proto- 
plasm, combine  with  albumen  and  abstract  the  water 


MATERIA     MEDIC  A    AND    THERAPEUTICS  37 

from  all  tissues.  The  phosphoric  and  the  sulphuric  acids 
will  completely  decompose  tissues  and  have  a  -strong 
affinity  for  water.  Most  of  these  acids  will  again  dissolve 
albumen  after  precipitation,  with  the  exception  of  nitric 
acid,  which  does  not.  Nitric  and  hydrochloric  will  cause 
a  yellow  color  of  the  tissues,  while  sulphuric  acid  will 
color  them  black.  Taken  internally  diluted  acids  cause 
a  feeling  of  constriction  in  the  mouth  and  throat  and 
roughness  of  the  teeth.  The  secretion  of  saliva  from 
parotid  and  sub-maxillary  glands  is  stimulated.  The  al- 
kaline intestinal  secretions  are  promoted,  while  the  acid 
secretions  are  checked  by  supplying  acid  artificially.  If 
given  before  meals  in  small  doses  acidity  of  the  stomach 
is  decreased ;  in  other  words,  it  checks  the  acid  gastric 
juices  secretion  by  supplying  it  artificially,  consequently 
if  continued  for  some  time  they  will  cause  irritation  of 
the  stomach  and  digestive  trouble.  They  will  check  fer- 
mentation. Are  astringent  to  tissues.  Sulphuric  acid  is 
the  strongest,  while  hydrochloric  is  the  weakest  astrin- 
gent. Nitric  acid  is  not  as  penetrating  as  other  acids  if 
applied  locally.  Acids  should  never  be  used  when  contra- 
indicated. 

In  poisoning  by  these  strong  acids  the  destruction  of 
tissue  is  so  rapid  that  but  little,  as  a  rule,  can  be  absorbed. 
The  direct  antidotes  are  alkalines  to  neutralize  their  ac- 
tion chemically.  Stomach  pump  or  tube  is  contra-indi- 
cated, as  there  is  danger  of  perforation,  which  easily  re- 
sults, on  account  of  the  destruction  of  the  walls  of  the 
passages  to  the  stomach. 

Acidum  Hydrochloricum :  This  is  one  of  the  strongest 
as  \vell  as  most  important  acids.  It  fumes  in  the  air,  is 
very  destructive  to  all  organic  matter,  corrosive,  dissolv- 
ing many  metals.  It  has  a  pungent  odor  and  is  very  irri- 
tating to  the  respiratory  organs.  The  acid,  if  pure,  is  col- 
orless, if  yellowish  it  shows  that  it  contains  impurities  of 
iron  or  is  old. 

Toxic  Effects :  Pain  throughout  the  digestive  tract, 
vomiting,  feeble  pulse,  clammy  skin,  collapse ;  eschars 
externally ;  yellow  stains  on  clothing  but  none  on  the  skin. 
This  is  a  peculiarity  of  this  acid  if  taken  internally. 


38  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Acidum  Hydrochloricum  Dilutum : 

Syn. — Hydrochloric  acid  dilute.     Muriatic  acid  dilute. 

As  the  pure  hydrochloric  acid  is  too  strong  for  medical 
use,  it  is  used  in  the  diluted  form,  which  is  made  by  using 
3  ounces  of  the  pure  concentrated  acid  with  7  ounces 
of  pure  water.  Should  be  kept  well  corked.  Of  this  di- 
lution v  to  xx  drops  may  be  taken  as  a  dose  internally 
when  indicated.  Should  it  produce  any  disorder  of  the 
gastro-intestinal  tract  or  colic  it  should  not  be  used. 

Properties :  Restorative,   antalkaline,   antiseptic. 

Indications :  Deep  red  tongue  and  mucous  membrane. 
Dry  and  cracked  coat  on  the  tongue ;  tongue  contracted 
with  brownish  stripe  in  center.  Sordes  on  the  teeth.  Di- 
gestion slow ;  pungent  heat  of  skin ;  nervous  prostration 
with  other  indications  for  this  remedy. 

Use  :  To  correct  undue  alkalinity.  Best  to  take  through 
a  glass  tube  to  prevent  its  affecting  the  enamel  of  the 
teeth  We  find  it  often  indicated  in  typhoid  fever,  tuber- 
culosis of  the  lungs,  catarrh  or  cancer  of  the  stomach, 
neurasthenia,  inflammatory  conditions  of  typhoid  form 
and  low  forms  of  fever.  It  will  counteract  phosphatic 
deposits  in  the  urine.  It  is  a  good  restorative  and  val- 
uable remedy  when  indicated,  but  should  be  discontinued 
if  the  indications  for  its  use  have  disappeared.  Where 
there  is  undue  alkalinity  of  the  blood  it  is  generally  indi- 
cated, and,  if  so,  should  be  used  no  matter  what  the  dis- 
ease. It  is  best  to  give  it  in  the  2d  to  3d  homoeopathic 
dilution. 

Acidum  Nitricum: 

Synonym — Nitric  acid. 

It  is  a  colorless  liquid  of  a  sour  taste,  very  irritating 
odor,  and  has  powerful  corrosive  action  except  on  gold 
and  platinum.  It  will  turn  the  skin  yellow,  also  wool 
fabrics.  It  is  very  powerful  and  should  be  used  with  care 
even  if  well  diluted. 

Indications :  Tongue  and  mucous  membrane  bluish  or 
violet  color.  Marked  deficiency  of  secretion  from  mu- 
cous membrane  and  of  the  glandular  structures  with 
above  indications.  In  all  cases  where  acids  are  indicated 
with  above  indications  nitric  acid  is  of  value. 


MATERIA     MEDICA     AND     THERAPEUTICS  39 

Use :  In  gastro-intestinal  troubles  it  may  be  given 
after  meals ;  in  cases  where  the  uric  acid  and  oxalic  acids 
are  excreted  in  abnormal  quantities,  with  above  indica- 
tions, it  has  been  recommended.  The  dose  is  i  to  2  drops 
in  4  ounces  of  water ;  a  teaspoonful  2  or  3  times  a  day. 
Some  authorities  claim  that  if  taken  internally  diluted  as 
above  it  will  cure  the  tendency  to  formation  of  warts. 
Externally,  in  full  strength,  it  may  be  applied  to  chancres 
and  chancroids;  it  will  destroy  the  specific  poison  and 
generally  one  application  is  sufficient.  Care  should  be 
taken  not  to  touch  the  adjoining  healthy  tissues  with  it. 
Nitric  acid  will  readily  coagulate  tissue,  but  is  less  pene- 
trating than  most  other  acids. 

Acidum  Sulphurosum : 

Synonym — Sulphurous  acid. 

Prepared  by  dissolving  6l/2  %  of  the  weight  of  sul- 
phurous acid  gas  in  93^2  %  of  pure  water. 

Toxic  effect :  Black  stains ;  pain  throughout  digestive 
tract ;  vomiting  often  of  tarry  matter ;  feeble  pulse, 
clammy  skin,  profuse  and  bloody  saliva. 

Indications :  In  low  forms  of  fever  with  feebleness 
and  prostration.  Tongue  looks  red,  sleek  or  narrow  and 
is  dry  and  pointed,  showing  a  want  of  tone  of  the  stom- 
ach and  a  deficiency  of  acid  generally  in  the  system. 

Use :  In  dyspepsia  with  vomiting  of  yeasty  material ; 
intestinal  dyspepsia  with  gas  and  flatulence  and  general 
deficiency  of  acid  in  the  system ;  in  pneumonia  with  pur- 
ulent expectoration ;  bronchitis  with  fetid  discharge ;  in 
diphtheria,  and,  in  fact,  any  disease  presenting  above  in- 
dications. In  scabies,  applied  locally,  it  is  even  more 
prompt  in  action  than  sulphur. 

Acidum  Sulphuricum  Aromaticum: 

Synonym — Aromatic  sulphuric  acid.     Elixir  of  vitriol. 

Made  by  combining  3^  fluid  ounces  of  sulphuric  acid, 
1^6  fluid  ounces  of  tincture  of  ginger,  and  alcohol  a  suffi- 
cient quantity  to  make  33^  fluid  ounces.  Keep  well 
corked. 

Indications  for  its  use :  Broad  and  full  tongue,  glutin- 
ous brown  coat,  viscid,  sordes  on  teeth,  tissues  full  and 


4O  M.\TERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

dirty  looking.     A  raw  beef  tongue   with   mawkish   odor 
of  breath  is  also  an  indication. 

Acidum  Benzoicum: 

Syn. — Benzoic  acid. 

It  evaporates  freely,  melts  at  249.8  F. ;  dissolves  in 
200  parts  cold  or  25  parts  of  boiling  water;  in  10  parts 
of  glycerine.  Very  soluble  in  most  essential  oils,  alcohol 
or  ether. 

Use:  It  neutralizes  alkalinity  in  the  body;  lessens  urea 
if  given  in  large  quantity,  by  appropriation  of  nitrogen, 
and  does  not  dissolve  uric  acid  as  is  generally  believed. 
It  is  a  good  remedy  in  excessive  secretion  of  phosphates. 
As  its  action  is  chemical  it  does  not  persist  if  its  use  is 
withdrawn.  Incontinence  of  urine  caused  by  irritation 
of  the  urine  charged  with  gravel  or  by  excessive  alkalinity 
of  the  urine  is  cured  by  it.  In  cystitis,  where  there  is 
ammoniacal  urine  it  is  a  good  remedy.  In  ursemic  pois- 
oning it  is  one  of  our  best  remedies.  While  in  some  pa- 
tients a  fraction  of  a  grain  is  sufficient  others  may  re- 
quire 2  to  3  grains  as  a  dose.  In  all  cases  its  effect 
should  be  watched  and  any  marked  cathartic  effect 
avoided. 

Acidum  Boricum: 

Syn. — Boracic  acid.     Boric  acid. 

Physiological  action  :  It  is  soluble  in  3  parts  of  boiling 
water,  almost  entirely  without  taste,  slightly  acid  and 
has  a  satin-like,  pearly  appearance.  Taken  internally  in 
very  large  doses  it  will  depress  the  heart  and  spinal  nerve 
centers,  causing  a  slow  and  feeble  pulse,  impaired  respi- 
ration, nausea,  vomiting,  great  depression  of  the  mind, 
hiccough,  stupor  and  coma.  Eruption  of  the  skin  may 
also  occur.  In  exceptional  cases  these  symptoms  more 
or  less  severe  may  occur  if  used  locally  as  a  dressing  for 
wounds,  etc.  In  these  cases  no  doubt  it  is  too  easily  ab- 
sorbed and  the  patient  too  susceptible  to  its  influence. 

Use :  It  is  a  good  antiseptic,  although,  as  a  germicide, 
its  power  is  not  very  great.  As  a  dressing  for  wounds 
and  in  surgical  operations  it  is  extensively  used,  being  a 
clean,  odorless,  nonirritating  and  nontoxic  dry  dressing. 


MATERIA     MEDICA     AND     THERAPEUTICS  4! 

We  think  of  it  in  stomatitis  and  ulceration  of  the  mouth 
as  a  wash.  In  cystitis  a  solution  is  very  useful  for  irri- 
gating1 the  bladder.  Of  use  in  mild  forms  of  conjuncti- 
vitis. As  a  dressing  for  carbuncles  and  boils  it  is  better 
than  a  poultice.  Locally  applied  in  bromidrosis  is  assists 
the  action  of  alteratives.  Open  abscesses  or  ulcers,  after 
cleansing,  may  be  dressed  to  advantage  with  boracic  acid. 
In  cervical  leucorrhcea,  the  result  of  excessive  acid  con- 
dition of  the  vagina,  boracic  acid  applied  dry  to  cervix 
and  held  there  by  a  pledget  of  cotton,  repeated  every  few 
days  will  cure  in  a  very  short  time. 

Acidum  Carbolicum: 

Is  a  useful  antiseptic,  antagonizes  fermentation,  putri- 
faction,  micro-organisms ;  coagulates  albumen.  As  we 
have,  however,  more  powerful  antiseptics  that  are  less 
harmful  to  the  tissues  and  less  toxic  in  their  effects  the 
writer  has  little  use  for  it.  A  general  description  of  it, 
however,  is  in  place.  Applied  locally  it  causes  irritation 
and  burning,  followed  by  an  anaesthetic  effect.  If  applied 
longer  it  may  cause  sloughing,  and,  on  account  of  its  co- 
agulating and  constringent  effects  on  tissues  and  the 
capillaries,  gangrene  may  result.  It  often  is  absorbed 
when  applied  locally  and  thus  systemic  poisoning  may 
result.  If  taken  internally  it  causes  burning,  nausea,  vom- 
iting, scanty  and  smoky-colored  urine,  contracted  pupils, 
cold  skin,  pallor,  collapse  and  paralysis  of  respiration 
which  results  in  death.  If  carbolic  acid  has  been  swal- 
lowed we  can  see  the  effects  in  white  appearance  of  skin 
or  the  mucous  membrane  with  which  it  has  come  in  con- 
tact. Often  we  find  that  carbolic  acid  will  not  dissolve 
well  in  water,  and  especially  in  very  cold  water.  If  dis- 
solved in  glycerine  first  it  will  mix  \vell  with  water.  Say 
drachm  I  of  carbolic  acid  to  drachm  I  of  glycerine  is  a 
good  proportion  ;  if  then  mixed  with  water  it  \vill  readily 
dissolve. 

Acidum  Hydrocyanicum : 

As  this  acid  is  extremely  powerful  and,  as  we  can  well 
dispense  with  it  in  the  practice  of  medicine  it  is  not 
deemed  necessary  to  give  its  therapeutic  action.  There- 
fore, the  physiological  action  is  only  given  to  enable  the 


42  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

reader  to  recognize  its  action  in  poisonous  doses.  In  full 
poisonous  doses  it  causes  almost  immediate  death.  The 
patient  will  gasp,  become  convulsed  and  die.  Eyes  are 
staring  and  open;  teeth  are  clenched,  froth  appears  at 
the  mouth,  face  becomes  purple  and  respiration  will  cease 
before  the  heart  stops  pulsating.  The  touch  of  the  tongue 
to  hydrocyanic  acid  often  has  produced  immediate  death 
by  the  powerful  reflex  irritation  to  the  nerve  centers  in  the 
medulla  oblongata.  In  small  but  toxic  doses  heart  action 
becomes  slow,  breathing  becomes  labored,  mental  dis- 
turbances take  place,  and  there  is  a  gradually  increasing1 
cyanotic  appearance  of  the  face.  Nausea  and  vomiting 
often  follow  muscular  spasms,  spasmodic  erection  of  the 
penis  in  the  male,  involuntary  defecation,  collapse  and 
death.  If  life  can  be  prolonged  25  minutes  recovery  may 
be  possible  as  it  is  rapidly  eliminated.  Its  paralyzing  ef- 
fect is  on  the  nerve  center  in  the  medulla  oblongata,  mani- 
festing itself  first  in  the  terminals  or,  in  other  words,  in 
the  peripheral  nerves,  and  then  in  the  muscles,  showing 
its  action  on  the  spinal  motor  nerves.  It  stops  the  heart 
by  irritation  of  the  vagus  root  in  the  medulla  oblongata 
and  paralysis  of  the  cardiac  motor  ganglia.  If  given  in 
large  medicinal  doses  it  will  cause  anaesthesia  or  paralysis 
of  the  nerve  endings,  headache,  dizziness,  vertigo,  mind 
and  nerve  forces  become  impaired,- temperature  will  fall, 
cyanotic  appearance,  palpitation  of  the  heart,  labored 
breathing  which  becomes  shallow  and  rapid,  cold  pres- 
piration  and  general  muscular  weakness  follows. 

Acidum  Salicylicum : 

Syn. — Salicylic  acid. 

Properties — Antiseptic,  deodorant. 

Soluble  in  450  parts. of  water,  14  parts  of  boiling  water 
or  2  %  of  alcohol.  That  which  is  produced1  from  natural 
oil  of  wintergreen  is  the  only  kind  that  should  be  used 
for  internal  administeration. 

Physiological  action :  It  will  produce,  in  large  doses, 
roaring  in  the  head,  flushed  face,  sometimes  pressure  in 
the  head,  fall  of  temperature  and  impaired  reflex  action. 
In  very  large  doses  it  will  increase  above  symptoms ; 


MATERIA     MEDICA     AND     THERAPEUTICS  43 

pulse  becomes  very  feeble,  breathing  more  difficult,  rest- 
lessness, delirium  and  even  involuntary  discharge  of 
feces.  It  depresses  the  heart's  action  and  function  of  the 
central  nervous  system,  temperature  sometimes  falling 
way  below  normal.  Destroys  the  red  blood  corpusels, 
and,  if  continued  for  some  time,  will  consequently  impair 
the  vital  forces,  cause  general  prostration,  anaemia  and 
pallor.  In  the  kidneys  it  may  cause  suppression  of  urine, 
temporary  albuminuria  and  hsematuria.  The  salicylate 
of  sodium  is  milder  in  its  effect  and  more  soluble,  and, 
for  that  reason,  preferable  in  cases  where  indicated. 

Use :  As  it  is  destructive  to  red  blood  corpuscles,  de- 
pressing the  heart's  action,  irritating  the  kidneys,  some- 
times producing  congestion  of  same  and  haematuria,  it 
should  be  used  with  care ;  should  not  be  taken  any  length 
of  time,  and  not  in  too  large  doses.  It  is  contra-indicated 
when  the  tongue  is  red  and  pointed,  showing  irritation  of 
the  digestive  tract. 

We  think  of  it  in  rheumatism  and  especially  in  the 
acute  or  subacute  form,  sciatica,  locally  in  old,  indolent 
ulcers,  cold  abscesses,  cancer,  corns,  bunions,  chilblains, 
and  as  a  surgical  dressing.  As  it  prevents  fermentation  it 
may  be  used  in  fermentive  dyspepsia,  but  as  we  have 
better  and  less  irritating  remedies  for  this  trouble  it  is 
not  to  be  recommended.  To  preserve  fruit  from  fermen- 
tation it  is  used  extensively.  If  urine  is  wanted  for  fu- 
ture analysis  it  will  prevent  it  from  fermenting.  In  fetid 
nasal  catarrh  it  may  be  combined  with  nonirritating  rem- 
edies, well  diluted,  and  used  with  an  atomizer. 

Aconitum  Napellus : 

Syn. — Aconite,  monkshood,  wolfsbane. 

N.  O. — Ranunculacese. 

N.  H. — America,  Europe,  Asia. 

Properties :  Arterial  sedative,  anodyne,  slightly  diaph- 
oretic. 

Physiological  action :  The  first  effect  of  a  physiologi- 
cal dose  is  a  sense  of  numbness  and  tingling  in  the  throat, 
tongue  and  lips.  Respiration  and  the  pulse  are  dimin- 


44  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

ished  and  there  is  depression  and  weakness.  If  larger 
dose  is  taken,  all  of  above  symptoms  are  increased,  pulse 
becoming  more  slow.  If  a  toxic  dose  is  taken  the  pulse 
will  become  irregular  and  slower,  even  as  low  as  40  beats 
a  minute.  Respiration  may  go  as  IOWT  as  12  per  minute; 
there  is  a  tingling  sensation  in  the  skin,  dimness  of  sight, 
dizziness,  skin  gets  moist  and  cool,  burning  in  the  throat 
and  stomach,  nausea,  vomiting,  loss  or  impairment  of 
hearing  and  sight,  followed  by  impairment  of  speech,  di- 
lated pupils,  headache,  muscular  and  gastrointestinal 
spasms,  death-like  appearance  of  face,  consciousness  re- 
maining until  death  results  by  syncope.  Aconite  is  a  pow- 
erful heart  depressant, acting  through  the  vaso-motor  ner- 
vous system.  It  influences  first  the  terminals  of  sensory 
then  the  trunk  of  the  nerves, the  heart,  respiration  and  the 
nerve  centers  of  the  cord.  It  paralyzes  the  heart  through 
the  inhibitory  centers.  It  paralyzes  respiratory  centers 
and  functions  of  the  spinal  cord,  first  sensory  then  motor. 
Destroys  reflex  action  and  voluntary  power  by  its  depress- 
ing effect  on  the  centers  in  the  spinal  cord.  The  cerebrum 
however  it  appears  is  not  affected. 

Indications :  In  sthenic  fevers.  Small,  frequent,  hard, 
sharp  and  quick  pulse ;  dry  and  hot  skin ;  secretion  sup- 
pressed ;  light  and  frequent  chills,  chilliness  up  and  down 
the  spine  ;  numbness  and  tingling  in  the  throat. 

Use :  It  is  a  heart  sedative  in  sthenic  fever  when  in- 
dicated. Its  use  must  be  discontinued  after  this  stage  is 
passed ;  also  if  there  is  evidence  of  feeble  heart's  action 
or  failure  of  nerve  force.  Aconite  has  a  marked  influence 
in  acute  inflammation  of  the  mucous  membranes,  giving 
tone  and  power  in  the  arterial  capillaries  and  is  opposed 
to  blood  stasis.  It  retards  exudation,  suppuration,  ad- 
hesion, induration  and  hypertrophy.  It  hastens  resolution 
and  promotes  absorption  of  inflammatory  products.  Un- 
der its  influence  the  heart  beats  slower,  pulse  becomes 
fuller  and  mild  diaphoresis  is  induced.  We  think  of  it  in 
fevers  in  children,  acute  colds,  measles,  tonsillitis,  bron- 
chitis, pneumonia,  pleurisy,  peritonitis,  gastritis,  enteritis, 
dysentery,  mastitis  or  any  sthenic  condition  where  indi- 
cated. 


MATERIA     MEDICA     AND     THERAPEUTICS  45 

Aesculus  Hippocastanum : 

Syn. — Horse  chestnut. 

I'.   E. — Bark  and  fruit. 

N.  O. — Sapindacese. 

N.  H. — Asia,  Europe,  America. 

Properties :  Tonic,  mildly  astringent,  anti-spasmodic. 

Use :  Exerts  a  direct  influence  on  the  portal  circula- 
tion and  uterine  cervix.  Overcomes  capillary  stasis.  Dis- 
orders of  a  congestive  nature,  especially  of  the  viscera 
and  venous  structure  of  the  rectum.  In  hemorrhoids  from 
portal  congestion  or  reflexes  from  this  condition  such  as 
headache,  spasmodic  asthma,  dyspepsia,  lumbar  and  sacral 
pain,  spasmodic  stricture,  rectal  neuralgia  and  fissures  it 
is  indicated.  In  hemorrhoids  with  fullness  and  dryness 
of  rectum,  purplish  color  of  hemorrhoids,  a  constricted 
feeling  without  constipation,  painful  and  difficult  stool, 
throbbing  of  the  abdominal  and  pelvic  vessels  it  is  indi- 
cated. In  neuralgia  of  malarial  origin  it  is  of  some  value. 

Ailanthus  Glandulosus : 

Syn. — Tree  of  heaven. 

N.  H. — -China  and  Japan. 

P. -E.— Bark. 

N.  O. — Simarubacese. 

Properties  :  Nerve  tonic. 

Physiological  action  :  In  toxic  doses  it  produces  head- 
ache of  severe  nature,  dizziness,  tingling  and  numbness, 
soreness  in  spine,  arms  and  legs  and  general  prostration. 
The  pulse  and  respiration  are  decreased,  cold  and  clammy 
sweat,  a  feeling  of  chilliness  follows,  and,  in  fatal  doses 
the  respiratory  centers  are  paralyzed  and  death  results. 

Use :  In  some  forms  of  epilepsy,  not  the  result  of  me- 
chanical injury  or  obstruction,  it  has  been  highly  recom- 
mended. Of  value  in  malignant  scarlet  fever,  typhoid 
fever,  hiccough  and  asthma.  It  is  of  value  in  prostration 
from  septic  causes.  It  stimulates  the  brain  and  spinal 
nerve  centers.  Of  value  in  low  forms  of  inflammation  and 
fever  and  in  septic  conditions.  In  weak  and  relaxed  con- 
ditions of  the  mucous  membranes,  and  as  a  tonic  to  the 
nervous  system  it  is  of  value  and  may  be  used  in  some 
forms  of  prostration,  especially  from  septic  cause. 


46  MATERIA  MEDIC  A  AND  CLINICAL  THERAPEUTICS 

Aletris  Farinosa : 

Syn. — Aletris.      Starr    Grass. 

P.  E.— Root. 

N.  O. — Haemodoraceae. 

N.  H.— United  States. 

Properties :  Tonic,  cathartic,  emetic,  narcotic. 

Use:  A  valuable  tonic  in  uterine  diseases  where  there 
is  a  sense  of  extreme  uterine  weakness.  It  has  a  direct 
influence  on  the  pelvic  organs.  Labor-like  pain  is  an  in- 
dication for  it.  Of  great  value  in  too  frequent  menstru- 
ation from  weakness  or  deficient  menstruation  or  pale  and 
insufficient  flow  from  the  same  causes.  In  anaemia  and 
chlorosis  with  insufficient  flow,  in  prolapsus  with  relaxed 
and  enfeebled  tissue  it  is  of  value.  It  improves  the  func- 
tion of  the  ovaries,  overcomes  sterility  and  assists  in  cor- 
recting habitual  abortion.  Improves  digestion  and  ap- 
petite and  thus  assists  in  making  good  blood. 

Ammonia : 

Normally  exists  in  the  blood  and  assists  in  keeping 
fibrin  in  solution,  thus  maintaining  the  fluidity  of  the 
blood.  The  glycogenic  function  of  the  liver  is  increased 
by  its  action,  and,  lastly,  it  is  changed  into  urea  and 
eliminated  as  such.  Inhaled  it  is  a  very  powerful  irritant 
to  mucous  surfaces,  causing  a  sense  of  suffocation  and 
weight,  and,  if  prolonged,  may  cause  inflammation  of 
the  respiratory  tract.  Through  nasal  branch  of  the  fifth 
nerve  it  excites  reflexly  the  vaso-motor  centers  and  in 
this  way  increases  arterial  tension.  If  taken  internally 
undiluted  or  in  toxic  doses  it  may  cause  gastro-enteritis, 
suffocation  by  its  vapor  acting  on  the  respiratory  tract, 
coma  and  death  may  result.  It  has  a  stimulating  effect 
on  the  nerve  centers  if  taken  in  medicinal  doses  and  in- 
creases respiration  and  circulation.  If  taken  in  too  large 
or  too  frequent  doses  the  stimulating  effects  on  the  cord 
will  result  in  motor  and  spinal  paralysis.  Locally  ap- 
plied it  is  a  vesicant  if  evaporation  is  prevented.  If  evap- 
oration is  not  prevented  it  is  a  rubifacient.  It  is  a  power- 
ful irritant,  if  applied  directly  to  muscles  causes  tonic 
contraction.  Carbonate  of  ammonia  taken  internally  is 
decomposed  by  the  hydrochloric  acid  of  the  gastric  juice, 


MATKKIA     MKDICA     AND    T  1 1  KK  A  I'KTT  I  <  S  4? 

setting  free  nascent  ammonia  which  is  absorbed.  Phos- 
phate of  ammonia  is  diuretic,  claimed  to  decompose  u rates 
of  sodium  in  the  blood,  changing  them  to  phosphate  of 
sodium  and  unite  of  ammonia  in  this  way  causing  their 
elimination.  Chloride  of  ammonia  increases  the  secretion 
of  urea.  In  large  doses  it  is  a  purgative.  Benzoate  of 
ammonia  is  diuretic  and  is  eliminated  as  hippuric  acid. 

Ammonia  Aromatic,  Spirits  of : 

Made  by  dissolving  carbonate  of  ammonia  in  water 
and  adding  a  solution  of  oil  of  nutmegs,  oil  of  lemon  and 
dilute  alcohol.  This  is  more  palatable  than  other  forms 
of  ammonia. 

Use:  In  great  weakness  and  prostration,  with  feeble 
action  of  the  heart.  Stimulates  the  capillary  circulation 
of  the  brain.  Neutralizes  hyperacidity  and  is  of  use  in 
some  forms  of  sick  headache. 

Ammonium  Carbonate : 

Syn. — Carbonate  of  ammonium. 

Properties  : — Stimulant,  expectorant,  diaphoretic. 

Use:  A  prompt  and  valuable  stimulant  for  sudden 
and  extreme  depression.  Arouses  the  heart's  action  and 
is  therefore,  a  valuable  remedy  in  threatened  collapse 
ancl  syncope.  In  surgical  shock  it  may  be  combined  with 
digitalis.  In  collapse  of  profound  anaesthesia  to  overcome 
the  depression  of  the  heart  and  the  respiratory  functions. 
In  cases  of  greatly  diminished  vitality  from  long  illness  it 
is  of  great  benefit.  Where  there  is  excessive  acidity  of 
the  gastric  and  intestinal  secretions  it  is  .a  valuable  rem- 
edy. As  it  is  a  stimulating  expectorant  we  think  of  it  in 
chronic  bronchitis,  or  latter  stages  of  acute  bronchitis  or 
pneumonia  to  support  the  vital  power.  Useful  in  spas- 
modic coughs,  with  scanty  expectoration.  Where 
there  is  diminished  cutaneous  circulation,  the  skin 
cold  and  pallid,  pallid  whitish  mucous  membrane 
and  a  pale,  broad  or  thick  tongue.  Chemical  incompat- 
ibles  such  as  acids  must  be  avoided.  It  is  best  taken  in 
milk,  which  will  disguise  its  taste.  As  it  evaporates  in 
the  air  ancl  then  becomes  useless,  it  should  always  be 
well  corked.  It  can  be  dissolved  in  hot  water  or  5  parts 
of  cold  water. 


48  MATERTA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Ammonium  Muriate : 

Syn. — Muriate  of  ammonium.  Chloride  of  ammonium. 

Properties  :  Stimulant,    expectorant. 

Use:  It  is  soluble  in  3  parts  of  cold  water  or  T  part 
of  boiling  water  soluble  in  alcohol.  We  think  of  it  in 
conditions  where  there  is  a  lack  of  secretion.  In  bron- 
chitis or  pneumonia  where  stimulating-  expectorants  are 
needed.  In  some  forms  of  catarrh  of  the  bronchi  with 
relaxed  mucous  membrane.  "  In  catarrh  of  the  stomach 
with  excessive  acid  secretion.  In  neuralgia  of  a  rheu- 
matic or  malarial  nature  with  a  tendency  to  periodicity, 
especially  if  in  the  face  and  head,  it  is  a  good  remedy  in 
large  doses.  A  very  good  remedy  in  great  weakness  and 
prostration.  It  does  not  differ  much  in  its  action  from 
carbonate  of  ammonia,  but  acts  less  powerfully  on  the 
heart  and  is  less  transient  in  its  effect. 

Amyl  Nitrite: 

Syn. — Nitrite  of  Amyl. 

Indications:  Fluttering  and  irregular  pulse,  pale  and 
cold  surface,  increased  arterial  throbbing,  tensive  spas- 
modic condition  of  heart. 

Use:  Amyl  nitrite  is  produced  by  the  action  of  nitric 
acid  on  amylic  alcohol.  It  is  a  restorative  in  extreme  con- 
ditions. On  account  of  its  relaxing  effect  on  the  muscu- 
lar system  it  may  be  used  in  general  or  local  spasms. 
Useful  in  angina  pectoris,  tetanus,  asthma,  whooping- 
cough.  Internally  it  may  be  given  in  l/+  to  y2  drop  as 
often  as  required,  or  larger  doses  if  the  emergency  de- 
mands it.  Inhale  from  i  to  3  drops  or  more  as  the  case 
may  demand.  The  3  to  5  drop  glass  capsules  are  conveni- 
ent for  inhalation.  They  can  be  broken  in  a  handker- 
chief and  then  inhaled.  It  should  not  be  used  where  there 
is  determination  of  blood  to  the  head.  Its  action  should 
always  be  carefully  watched,  and  it  should  never  be  used 
if  contra-indicated. 

Amygdalus  Persica: 

Syn. — Amygdalus,  peach  tree. 

P.  E. — Leaves  and  bark  of  young  twigs. 

N.  H. — America,  Europe,  Asia. 


.MATHKIA       .MKDICA      AM)       I'  1 1  KKA  PKl'TICS  4Q 

Properties :  Sedative,  slightly  laxative,  mildly  diur- 
etic. 

Indications :  Tongue  elongated  and  pointed  with  red 
edges,  showing  irritation  of  the  gastro-intestinal  tract. 

Use :  In  nausea  and  vomiting  the  result  of  irritation 
of  the  stomach.  In  vomiting  of  pregnancy  it  often  proves 
beneficial.  Often  will  relieve  the  vomiting  of  cholera 
infantum. 

Anthemis  Nobilis : 

Syn. — Chamomile. 

P.  E. — Flower  heads. 

N.  O. — Composite. 

N.  H. — Europe. 

Properties :  Tonic,  anti-spasmodic ;  in  large  doses 
emetic. 

Use:  Griping  colic,  pain  in  region  of  umbilicus  and 
lower,  especially  in  children,  stool  green  and  slimy, 
smelling  like  rotten  eggs.  Reflex  nervous  irritation.  In 
teething  children  it  allays  nervous  irritation.  Of  benefit 
in  reflex  pain  in  the  last  months  of  pregnancy,  reflex 
cough  and  muscular  twitching  and  cramps.  In  amenor- 
rhoea  with  sense  of  weight  and  heaviness  in  uterus,  bloat- 
ing of  the  bowels,  pain  resembling  labor  pains,  intermit- 
tent in  character,  it  is  of  value. 

Apocynum  Cannabinum : 

Syn. — Apocynum,  Canadian  hemp,  bitter  root,  Indian 
hemp. 

P.  E. — Fresh  root. 

N.  O. — Apocynacese. 

N.  H. — United  States  and  Canada. 

Properties  :  Diuretic,  cathartic,  emetic. 

Indications :  The  remedy  thought  of  in  dropsy. 
Oedema  of  the  cellular  tissue,  puffiness  of  face,  beginning 
in  the  cellular  tissues  under  eyes,  followed  by  an  cedem- 
atous  condition  of  hands,  feet  and  a  general  dropsical 
condition,  with  scanty  urine,  diarrhoea  with  sharp  and 
griping  pains  in  bowels,  flatulent  discharge,  some  cases 
of  jaundice.  We  think  of  it  in  dropsy,  depending  upon 
feeble  heart,  rheumatism,  rheumatic  neuralgia,  diseases 


5O  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

of  joints  and  mucous  membrane,  sciatica.  A  good  remedy 
for  anaemic  females  with  relaxed  and  flabby  tissue  with 
a  tendency  to  metrorrhagia  or  menorrhagia,  especially 
where  the  uterus  is  relaxed  and  the  flow  more  of  a  watery 
color.  Useful  in  general  sluggish  circulation.  It  is  a 
pronounced  heart  tonic  and  improves  the  circulation. 
Increases  blood  pressure  and  capillary  action.  We  think 
of  it  in  conditions  where  exudation  takes  place  from  the 
blood  vessels,  the  result  of  atonic  conditions  of  the  yes- 
sels.  Combined  with  cactus  it  makes  a  very  good  heart 
tonic.  Apocynum  should  be  given  in  small  doses  so  as 
not  to  get  the  cathartic  effect. 

Apis  Mellifica : 

Syn. — Apis,  honey  bee. 

Properties :  Diuretic,  diaphoretic,  alterative. 

Indications :  Itching  with  burning.  A  peculiar  burn- 
ing pain,  such  as  is  present  in  the  sting  of  a  bee.  Dark 
red  urine  with  constant  desire  to  urinate,  but  patient  un- 
able to  urinate  freely. 

Use  :  Apis  is  made  by  taking  the  honey  bees,  putting 
them  in  a  bottle,  then  shaking  them  until  they  get  ex- 
cited. Then  alcohol  is  poured  over  them  and 
tincture  made.  The  poison  generated  by  exciting  them 
is  the  medical  principle.  Apis  is  the  remedy  in  cases  of 
dropsy  which  appear  suddenly  as  in  oedema  of  glottis, 
diptheria,  scarlet  fever,  effusion  from  pleuritis,  periton- 
itis or  other  acute  serous  inflammation.  In  irritation  of 
the  bladder ;  in  retention  and  suppression  of  urine  in 
children  and  old  people  from  weakness  it  is  a  useful  rem- 
edy. Incontinence  of  urine  in  the  aged  and  feeble.  Pas- 
sive hsematuria  intractable  to  other  remedies.  Urticaria, 
where  there  is  much  itching,  has  been  cured  by  apis.  In- 
flammation of  the  subcutaneous  tissue,  if  accompanied  by 
irritation  of  the  skin  and  pain  of  a  lancinating  nature. 

Arsenicum  Album : 

Syn. — Arsenic,  acidum  arseniosum,  arsenious  acid. 

Physiological  action :  Locally  applied  it  acts  as  an 
irritant  and  escharotic.  Applied  to  a  large  surface  diluted 
it  may  be  absorbed  and  give  rise  to  symptoms  of  arsenic 


MATEKIA      MEDICA     AND     T1J  ERAPEUTICS  51 

poisoning.  Taken  internally  in  toxic  doses  it  may  have 
such  a  profound  action  in  some  cases  as  to  cause  profound 
narcosis  immediately.  If  not,  its  toxic  effect  will  mani- 
fest itself  as  follows :  It  powerfully  irritates  the  gastro- 
intestinal tract,  causing  burning  pain  in  the  throat  and 
stomach,  salivation,  metallic  taste  in  the  mouth,  nausea, 
vomiting,  thirst,  great  pain,  especially  in  the  gastro-in- 
testinal  tract;  albumen  in  the  urine,  feeble  pulse,  great 
anxiety,  rapid,  oppressed  breathing,  cold  and  clammy 
sweat,  cold  breath,  delirium,  convulsions,  and  finally 
death.  The  symptoms  resemble  somewhat  those  of  chol- 
era. In  small  doses  it  promotes  appetite,  and  digestion, 
increases  peristaltic  action,  intestinal  secretion,  respira- 
tion and  heart's  action,  exalts  mental  activity.  In  large 
or  long  continued  medicinal  doses  it  will  cause  itching 
of  the  skin  and1  skin  eruptions,  swelling  of  the  eyelids, 
salivation,  nausea,  vomiting,  dyspnoea,  pain  and  soreness 
in  the  epigastric  region,  diarrhoea,  jaundice,  impaired 
sensibilty,  albuminuria.  As  the  habit  of  using1  it  may  be 
formed  it  should  be  used  with  discretion.  Water,  if  taken 
with  it,  will  increase  its  rapid  absorbtion.  Symptoms  of 
chronic  arsenic  poison  caused  by  inhalation,  which  may 
be  from  the  dust  of  Avail  paper  or  other  cause  are  colicky 
pains,  cough,  dysentery,  irritation  of  the  eyes,  white 
tongue  more  of  a  silver  gloss,  coryza  and  general  pros- 
tration. A  valuable  remedy  when  indicated,  but  should 
be  used  with  care  and  not  when  contra-indicated.  The 
best,  and,  as  a  general  rule,  the  only  form  to  administer 
this  drug,  is  in  the  3x  to  I2x  homoeopathic  trituration.  In 
most  cases,  but  especially  in  diseases  where  there  are 
malarial  conditions  to  be  taken  into  consideration  the 
chininum  ars.,  2x  is  the  best  form  to  administer,  in  fact 
the  author  has  given  this  almost  exclusively. 

Indication  and  use :  In  oedematous  or  engorged  condi- 
tions of  the  cellular  tissues  of  the  body  accompanied  by 
a  lack  of  elasticity  of  the  tissues  and  skin ;  in  those  con- 
ditions where  the  skin  has  lost  its  elasticity,  where  when 
it  is  raised  with  the  fingers  it  does  not  spring  back  as 
normally.  The  tissues  look  puffy  and  unnatural ;  also 
with  the  above  indications  where  there  is  an  abnormal, 
unnatural  increase  in  tissue  so  often  met  with,  especially 


52  MATEKIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

in  women  at  the  climateric.  In  debilitated  conditions, 
conditions  following  malaria  it  exerts  on  the  nerve  centers 
and  the  sympathetic  nervous  system  a  marked  tonic  in- 
fluence. It  will  cure  malaria  where  quinine  fails  ;  how- 
ever, in  these  conditions  chininum  ars.  3x  is  the  best  form 
to  use.  Arsenic  taken  on  an  empty  stomach  is  carried 
directly  to  the  liver  by  the  veins.  If  not  empty  it  is  car- 
ried to  the  general  circulation  by  the  lacteals  which  ab- 
sorb it.  It  promotes  the  flow  of  digestive  fluids  and  tones 
up  the  stomach.  We  think  of  it  in  disease  marked  by 
exhausted  vitality ;  intermittent  fever  and  typhoid  fever 
with  great  thirst  and  debility.  Stomach  and  bowel 
troubles,  with  burning  pain,  atonic  dyspepsia,  gastralgia, 
ulcers  of  the  stomach,  severe  vomiting,  diarrhoea  .with 
watery  green  or  dark  burning  stool ;  diarrhoea  in  greatly 
run-down  conditions  of  nervous  nature  or  origin,  shreds 
of  mucus  passing  with  stool  and  large  evacuations.  In 
some  cases  of  dropsical  complaints  it  acts  well.  In  skin 
diseases  of  the  scaly  nature  with  burning  attended  with 
discharge  of  thin,  watery  fluid ;  obstinate  ulcers  with 
burning  or  itching  or  with  a  bloody,  thin  or  fetid  dis- 
charge ;  also  of  benefit  in  colds,  influenza  and  bronchitis 
with  difficult  expectoration  where  there  is  marked  ex- 
haustion of  the  vital  forces.  In  cholera  it  no  doubt  is  a 
valuable  remedy.  Arsenic  is  claimed  to  be  a  preventive- 
of  variola,  cholera  and  yellow  fever,  especially  the  lat- 
ter two.  In  order  to  be  effective  as  a  preventive  in  time  of 
epidemics  "acid  arsenious"  i-ioo  of  a  grain  3  times  a  day 
the  first  W'eek ;  twice  a  day  the  second  week  and  once  a 
day  thereafter  during  an  epidemic. 

Asclepias  Tuberosa: 

Syn. — Asclepias,  pleurisy  root,  butterfly  weed. 

P.  E.— Root. 

N.  O. — Asclepiadaceae. 

N.  H—  United  States. 

Properties :  Diaphoretic,  expectorant,  cathartic,  tonic. 

Indications:  Strong  pulse,  dry  skin,  cough,  pleuritic 
pain  which  is  aggravated  by  motion,  in  fevers  with  above 
indications. 

Use :  Stimulates  secretion  of  the  skin,  salivary  glands 


MATER  I. \      MKDICA     AND     THERAPEUTICS  53 

and  kidneys.  Increases  secretion  of  mucous  and  especi- 
ally serous  membranes.  Its  influence  is  mostly  exerted 
upon  sudoriparous  glands;  and  it  is  a  distinctive  elimi- 
native  agent.  Has  a  direct  action  upon  the  thoracic 
organs.  We  think  of  it  in  disturbances  of  the  centers 
that  supply  the  bronchial  arteries,  intercostal  pains,  per- 
itonitis, pleurisy,  pneumonia,  and  acute  rheumatism,  com- 
bined or  alternated  with  such  other  remedies  as  may  be 
indicated.  It  is  not  as  powerful  a  remedy  as  jaborandi, 
but  much  less  depressing.  Certainly  a  good  remedy  in 
catarrhal  conditions  either  of  the  pulmonary  or  gastro- 
intestinal tract  which  are  the  result  of  a  cold.  As  it  is  not 
irritating  to  the  stomach  it  is  a  remedy  that  can  be  taken 
without  disturbing  the  gastro-intestinal  tract.  A  valuable 
adjunct  to  other  indicated  remedies  in  inflammatory 
rheumatism. 

Avena  Sativa : 

Syn. — Oats. 

P.  E— Seed. 

N.  O. — Graminacese. 

N.  H. — America,  Europe,  Asia. 

Properties :  Antispasmodic,  nerve  stimulant,  diuretic 
and  tonic. 

Indications :  Nervous  prostration,  convalescence  from 
prostrating  diseases ;  general  prostration  from  worry  or 
overworked  condition  of  the  brain.  Occipital  headache 
in  general  neurasthenia ;  sexual  neurasthenia ;  nervous 
palpitation  of  the  heart. 

Use :  We  think  of  it  in  masturbation ;  spermatorrhoea 
the  result  of  excessive  sexual  indulgence  or  masturbation. 
In  hysterical  conditions  the  result  of  uterine  or  ovarian 
disorders ;  nervous  headache  at  the  menstrual  period ;  and 
in  atonic  amenorrhoea ;  neuralgic  and  congestive  dysmen- 
orrhoea  with  cold  extremities  and  poor  circulation.  In 
the  morphine,  tobacco  and  alcoholic  habit.  In  prostatic 
irritation  used  with  saw  palmetto  its  action  is  very  sat- 
isfactory. It  is  best  administered  in  10  to  15  drop  doses 
in  a  cup  of  hot  water,  or,  where  case  demands,  in  a  cup 
of  cold  water.  In  hot  water  its  action  is  much  quicker. 
It  is  always  best  to  give  it  well  diluted.  If  it  produces 


54  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

pain  at  the  base  of  the  brain  it  should  be  discontinued 
for  a  few  days  and  then  given  in  reduced  doses.  It  is  a 
stimulant  sedative  and  nutritive  tonic  in  wasting  nerve' 
force.  Of  value  in  chorea,  nerve  tremor,  paralysis  and 
wasting  diseases  of  old  age.  In  local  paralysis  of  diph- 
theria it  is  a  good  remedy.  Its  stimulating  influence  is 
similar  to  that  of  mix  vomica ;  after  prostrating  fevers  its 
action  is  similar  to  quinine  and  its  restorative  power  to 
that  of  phosphorous,  it  is  not  as  powerful  as  these  reme- 
dies but  its  beneficial  effect  is  more  lasting.  It  increases 
nerve  force  .and  increases  the  nutritive  force  of  the  whole 
system.  The  writer  finds  that  effective  as  this  drug  may 
be,  it  is  often  overrated. 

Baptisia  Tinctoria: 

Syn. — Baptisia,  wild  indigo. 

P.  E. — Part,  root  and  leaves. 

N.  O. — Leguminosse. 

N.  H.— United  States. 

Properties :  Antiseptic,  stimulant,  astringent. 

Physiological  action  :  Very  large  doses  will  cause  se- 
vere purging  and  vomiting.  Respiration  and  reflexes  arc 
over  stimulated,  resulting  in  asphyxia  from  paralysis  of 
the  reflex  centers  and  death. 

Indications :  Dusky,  purplish  full  face,  dark  or  pur- 
plish tongue,  lips  and  mucous  membrane. 

Use :  We  think  of  it  in  typhoid  fever  and  other  dis- 
eases showing  typhoid  symptoms.  In  delirium  of  ty- 
phoid or  of  typhoid  nature  ;  diphtheria,  diphtheretic  laryn- 
gitis ;  dysentery  with  offensive  breath  and  fetid  discharge 
of  a  dark  prune  juice  character.  Useful  in  tonsillitis  if  in- 
dicated. As  baptisia  is  not  a  very  powerful  antiseptic  it 
will  be  found  to  be  of  great  advantage  in  most  cases  to 
associate  it  with  echinacea. 

Barosma  Betulina : 

Syn. — Buchu. 

P.  E. — Leaves. 

N.  H.— Africa. 

Properties :  Diuretic,  tonic,  stimulant. 

Use :  It  is  slightly  diuretic,  increasing  both  the  watery 


MATERIA      MEDIC  A     AND     THERAPEUTICS  55 

and  solid  constituents  of  the  urine.  Has  a  soothing,  tonic 
and  restorative  effect  on  the  urinary  apparatus,  bringing 
about  normal  action.  We  think  of  it  in  mucous  and  muco- 
purulent  discharges  from  the  kidneys,  bladder  and  urethra, 
gonorrhoea,  catarrhal  conditions  of  the  bladder  and  in  ir- 
ritation of  the  bladder  from  excess  of  uric  acid.  It  is  also 
a  good  tonic  to  the  muscular  wall  of  the  urinary'  appa- 
ratus. As  it  is  not  objectionable  to  the  stomach,  in  fact, 
being  of  value  in  some  form  of  dyspepsia,  it  may  be  given 
with  confidence  in  any  weak  and  irritable  conditions  of 
the  mucous  membranes  of  the  urinary  apparatus. 

Belladonna : 

Syn. — Atropa  belladonna;  deadly  nightshade. 

P.  E. — Roots  and  leaves. 

N.  O. — Solanacese. 

N.  H. — Europe. 

Properties:  Anodyne,  antispasmodic,  suppresses  se- 
cretion. 

Physiological  action  :  In  full  physiological  doses  it  is 
a  cerebral  excitant,  producing  active  hyperaemia,  and  a 
full  but  active  cerebral  capillary  circulation  which  mani- 
fests itself  first  by  dry  throat  followed  by  excitement,  ex- 
hilaration, dilated  pupils,  burning  of  throat,  face  flushed, 
intolerance  of  light,  impairment  of  vision,  nausea  and  in- 
somnia. In  large  toxic  doses  above  symptoms  are  ag- 
gravated1, followed  by  inco-ordination  of  muscles,  motor- 
paralysis,  difficult  deglutition,  wild  and  furious  delirium, 
muscular  twitching,  a  scarlet  rash  appears  on  the  body, 
pulse  becomes  feeble,  general  prostration,  deep  coma, 
convulsions  and  death  from  paralysis  of  the  inhibitory 
nerves  of  the  heart,  and  later  the  heart  muscles.  At  first 
contracts  the  blood  vessels  in  the  cord,  increasing  arterial 
tension,  then,  as  its  paralyzing  effect  is  manifested,  it 
dilates  the  blood  vessels  and1  reduces  pressure.  On  ac- 
count of  over  stimulation  of  the  capillaries  exudation  takes 
place,  resulting  in  the  characteristic  scarlet  rash.  The 
powerful  determination  of  blood  to  the  face  and  head 
causes  flushed  face.  Dilitation  of  the  pupil  causes  the 
intolerance  of  light  as  well  as  impairment  of  vision.  Bel- 
ladonna is  a  powerful  vaso-motor  stimulant,  paralysis 


56  M  ATERIA   MEDTCA   AND  CLINICAL  THERAPEUTICS 

from  overstimulation  results  when  given  in  large  doses. 

Indication :  Dullness,  drowsiness,  eyes  dull,  dilated 
pupils,  dullness  of  mind  and  tendency  to  sleep,  impaired 
capillary  circulation  of  skin.  Blueness  of  face  and  ex- 
tremities, coldness  of  hands  and  feet,  cerebral  congestion. 
Pain  in  head,  heavy,  tense  and  sleepy,  showing  that  it  is 
the  remedy  in  passive  congestion,  especially  of  the  cere- 
bro-spinal  centers. 

Use :  It  is  a  direct  sedative  in  fevers,  but  combats 
fever  processes.  Induces  powerful  capillary  circulation. 
The  influence  is  extend'ed  from  the  nerve  center  to  the 
periphery,  and,  if  given  in  overdoses,  stimulates  the  cap- 
illaries so  abnormally  as  to  produce  a  red  rash.  It  an- 
tagonizes congestion.  Its  influence  in  restraining  secre- 
tion does  not  prevent  its  use  in  capillary  stasis.  If  used 
in  small  doses  its  influence  on  the  circulation  precedes 
that  of  secretion,  as  its  first  influence  is  on  circulation, 
then  on  secretion.  Combined  with  aconite  the  action  of 
restraining  secretion  is  not  nearly  so  marked  in  inflamma- 
tory conditions.  If  given  early  with  aconite  when  there 
is  fever  only  the  hypersemia  and  consequent  inflammation 
is  abated.  It  is  our  most  important  remedy  in  equalizing 
the  circulation  and  preventing  local  hyperaemia,  which  is 
essential  to  all  local  inflammatory  action.  It  is  a  powerful 
vaso-motor  stimulant ;  stimulating  capillary  circulation. 
It  has  a  direct  action  on  the  heart,  increasing  its  action, 
slowing  and  strengthening  the  pulse.  In  urinary  affections 
the  result  of  capillary  congestion,  with  perhaps  throbbing 
pain  in  the  back  in  the  region  of  the  kidneys,  it  is  a  good 
remedy.  In  sore  throat,  where  the  mucous  membrane  is 
dry  and  swollen  we  think  of  belladonna.  Spasms  of  the 
orifices  of  the  body  of  a  passive  nature  are  relieved  by  it. 
In  incontinence  of  urine,  especially  in  children,  it  is  an 
effective  remedy  if  indicated,  but  we  generally  succeed  in 
overcoming  this  condition  with  other  less  powerful  rem- 
edies. 

Berberis  Aquifolium: 

Svn. — Berberis,  Oregon  grape. 

P'  E.— Root. 

N.  O. — Berberidacea. 


MATKKIA      MKDTCA     AND     THERAPEUTICS  57 

N.  H.— Pacific  coast  states,  U.  S.  A. 

Properties :  Alterative,  tonic,  antisyphilitic,  slightly 
laxative  and  diuretic. 

Use :  In  disordered  conditions  of  the  blood  and  espe- 
cially skin  diseases  due  to  above,  such  as  eczema,  acne, 
psoriasis,  pityriasis,  chronic  dermatosis,  scald  head,  salt 
rheum,  etc.  It  removes  pimples  and  roughness  of  the 
skin,  promoting  a  soft  and  natural  skin  in  sensative  young 
ladies  if  the  cause  is  not  from  irritation  in  the  reproduc- 
tive organs.  It  acts  favorably  on  the  liver  and  is  a  good 
tonic.  A  valuable  remedy  in  syphilis,  especially  if  com- 
bined with  other  alteratives.  As  a  general  tonic,  to  im- 
prove appetite  and  digestion  and  to  purify  the  blood  it  is 
one  of  our  best  remedies.  In  uterine  troubles  it  acts  as 
a, general  and  local  tonic,  overcoming  relaxed  and  weak- 
ened condition.  In  skin  diseases  it  acts  best  in  those  of  a 
dry  and  scaly  nature,  but  is  of  benefit  in  other  forms  as 
well.  We  also  think  of  it  in  chronic  hepatitis,  acute 
15 right's  diesase,  phthisis,  coughs,  dyspepsia,  chronic 
throat  troubles,  etc.,  in  conjunction  with  or  alternated 
with  other  indicated  remedies. 

Bigleovia  Arborescens : 

Syn. — Aplopappus  laricifolius,  Yerba  del  Pasmo. 

P.  E. — HerlD  and  root. 

N.  O. — Composite  renna  aplopapptts. 

N.  H. — California,  Mexico. 

Properties : 

Use  :  In  cardiac  dyspnoea,  result  of  nervous  condition, 
it  is  of  value.  Has  a  pronounced  influence  on  the  pneu- 
mogastric  nerve.  It  has  some  value  as  an  aphrodisiac. 
Highly  recommended  in  chorea.  This  drug  needs  further 
investigation. 

Bromides :  ' 

The  writer  does  not  favor  the  use  of  the  bromides  and 
never  uses  them  in  his  practice,  as  we  have  less  harmful 
agents  that  fill  their  indications.  As  there  are  some  that 
occasionally  use  them  or  come  in  contact  with  cases  that 
have  contracted  bromism  through  large  doses  or  long 
continued  use  of  the  drug  in  its  various  forms  the  physi- 


58  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

ological  action  as  well  as  indications  and  use  will  be 
given  below. 

Physiological  action  :  When  inhaled'  are  very  irritating 
to  the  mucous  membranes  of  the  respiratory  tract,  pro- 
ducing hoarseness,  cough,  and  in  some  cases  dyspnoea. 
Internally  in  large  doses  bromides  will  cause  severe  gas- 
trointestinal inflammation,  general  depression,  muscular 
trembling,  paralysis  of  motor  then  sensory  nerves,  col- 
lapse and  even  death.  The  bromides  are  powerful  cere- 
bro  spinal  depressants.  They  are  eliminated  slowly  with 
every  secretion  of  the  body.  They  reduce  the  heart's  ac- 
tion, respiration,  lessen  the  activity  of  the  brain,  diminish 
sensibility  of  the  peripheral  nerves  and  mucous  mem- 
brane, impair  the  sexual  function,  cause  emaciation  and 
pallor,  lower  the  temperature,  cause  characteristic  fetid 
breath,  impair  co-ordination.  If  long  continued  will  pro- 
duce a  rash  on  the  skin,  at  first  papular,  later  pustular 
with  ulceration,  impair  mental  faculties ;  in  some  it  will 
produce  melancholy,  others  hallucination ;  again  in  others 
tendency  to  suicide  and  even  maniacal  excitement.  Bro- 
mides cause,  if  continued  long  or  taken  in  large  doses 
retrograde  metamorphosis,  insufficient  oxygenation  of  the 
blood,  acting  as  a  depressant  on  the  sympathetic.  Lower 
or  impair  muscular  contractibility.  The  capillary  vessels 
contract  to  such  a  degree  as  to  cause  insufficient  circula- 
tion, arterial  tension  is  lowered,  finally  anaemia  of  the 
brain,  cord  and  skin  results.  Bromide  of  sodium  is  the 
least  harmful. 

Indication  :  The  bromides  are  indicated  in  all  cases  of 
nervous  excitement  which  are  the  result  of  irritation, 
marked  determination  of  blood  to  nerve  centers,  capillary 
fullness  and  any  condition  where  the  nerve  force  is  tem- 
porarily increased.  General  cerebral  fullness  with  irrita- 
tion of  the  nerve  centers.  They  are  therefore  indicated  in 
spasms,  hysterical  mania,  delirium  tremens,  sexual  hy- 
peraesthesia,  nymphomania,  insomnia,  with  above  indi- 
cations or  conditions  present.  In  insomnia  the  bromide 
of  sodium  is  preferable.  In  whooping  cough  where  there 
is  an  irregular  heart's  action  as  a  result,  the  bromide  of 
potassium  is  preferable.  In  lithaemia  the  bromide  of 
lithium  should  be  used.  In  most  conditions  we  have  less 


MATERIA     MEDICA     AND     THERAPEUTICS  59 

harmful  and  as  effective  remedies  as  the  bromides,  and, 
for  that  reason,  their  use  should  be  limited  as  much  as 
possible.  They  should  not  be  taken  any  length  of  time 
and  not  taken  in  large  doses  except  in  emergencies.  The 
writer  never  uses  them.'  The  bromide  of  -sodium  is  the 
least  poisonous  and  least  irritating  and  therefore  is  pre- 
ferred in  most  cases. 

Bryonia  Alba: 

Syn. — Bryonia. 

P.  E.— Root. 

N.  O. — Cucurbitaceae. 

N.  H. — Europe. 

Properties :  In  medicinal  doses  it  assists  other  seda- 
tives to  control  fever,  when  indicated.  In  large  doses  it 
is  a  hydragogue  cathartic. 

Physiological  action :  In  full  physiological  doses  it  is 
a  powerful  hydragogue  cathartic,  being  so  irritating  that 
it  may  produce  gastro-intestinal  inflammation.  It  excites 
the  peripheral  nerves  and  capillaries  to  such  an  extent  as 
to  produce  irritation  and  even,  inflammation.  In  toxic 
doses  it  will  cause  dizziness,  lower  temperature,  pulse 
becomes  weak,  cold  perspiration  over  the  body,  delirium, 
dilated  pupils  and  a  general  depression  of  the  nervous 
system. 

Indications:  Hard1,  quick  pulse;  short,  quick,  harsh, 
hacking  cough,  quick,  sharp,  cutting,  stitching  pain,  ag- 
gravated by  movement,  transient  pain  increased  on  inhala- 
tion. Flushed  face,  especially  the  right  cheek.  Frontal 
pain  extending  to  basilar  region ;  orbital  or  supra-orbital 
pain  ;  hemicrania  :  headache  of  rheumatic  origin.  Being 
of  special  use  in  inflammation  of  the  serous  and  synovial 
membranes,  it  can  be  readily  seen  why  it  is  indicated 
where  pain  is  aggravated  by  motion  of  the  affected  parts. 

Use :  In  acute  serous  and  synovial  membrane  inflam- 
mation, with  or  without  exudation.  Retards  exudlation 
and  encourages  absorbtion  if  exudates  have  formed.  A 
remedy  of  great  value  in  the  treatment  of  all  acute  in- 
flammation of  the  thoracic  viscera,  in  which  case  it  is 
alternated  or  associated  with  other  indicated  remedies. 
The  remedy  in  pleurisy  and  pneumonia  and  influenza. 


60  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

In  rheumatism  in  any  part  of  the  body  when  indicated. 
When  there  is  pain  in  the  liver,  of  a  cutting  nature  it  has 
proved  of  value.  Bryonia  should  never  be  given  in  as 
large  doses  so  as  to  get  its  hydragogue  cathartic  effect. 
The  average  dose  of  v  to  xx  drops  in  4  ounces  of  water, 
teaspoonful  every  2  to  4  hours  answers  for  all  medicinal 
purposes. 

Cactus  Grandiflorus: 

Syn. — Cactus,  cereus  grandiflorus,  night  blooming 
cereus. 

P.  E. — Stems  and  flowers. 

N.  O. — Cactaceae. 

N.  H.— Mexico. 

Properties :  Tonic,  antispasmodic,  diuretic. 

Indication :  Irregular  pulse  with  feebleness  of  the 
heart's  action.  Oppressive  sensation  in  the  region  of  the 
heart,  sensation  of  constriction  as  if  a  tight  band  was 
around  chest.  Feeble  and  irregular  pulse.  Headache  in 
top  of  head.  Indicated  where  there  is  feebleness  and  ir- 
ritability of  the  heart ;  asthenic  conditions. 

Use :  Increases  heart's  action  by  stimulating  the  vaso- 
motor  and  spinal  motor  centers.  It  increases  their  tone 
and  activity  and  thus  improves  the  nutrition  of  the  nerves 
and  muscles  of  the  heart.  Has  a  direct  action  on  the 
sympathetic  system,  influencing  it  to  normal  performance 
of  action.  Increases  the  contractile  power  and  tone  of  the 
heart  muscles  through  the  inter  cardiac  ganglia  and  ac- 
celerator nerves ;  increases  arterial  tension  and  force  of 
pulse  wave.  A  fine  heart  and  nerve  tonic  and  restorative 
having  none  of  the  irritating  qualities  on  the  heart  mus- 
cles as  strophantus,  nor  the  gastric  irritating  and  accu- 
mulating qualities  of  digitalis.  In  enfeebled  heart  mus- 
cles, progressive  valvular  insufficiency  with  irregular  and 
intermittent  pulse  in  mitral  or  aortic  regurgitation.  In 
endocarditis  and  pericarditis  following  severe  disease. 
Bicycle  and  tobacco  heart.  In  intraceable  temporary 
blindness,  neuralgia,  general  excited  action,  the  result  of 
wrong  of  heart's  action,  it  has  been  used  with  success. 
Cactus  cannot  be  called  a  sedative  nor  a  stimulant,  but  it 
has  a  tendency  to  bring  about  normal  action  of  the  heart. 


MATKKIA      .MKDICA      AND     T  I !  KK  A  I'EUTICS  6l 

Calcium  Sulphide : 

Syn. — Sulphurated  lime. 

Use:  Its  special  influence  is  on  the  glandular  system, 
blood  and  skin.  We  think  of  it  in  glandular,  pustular 
and  suppurative  inflammation,  especially  of  the  skin.  In 
carbuncles  and  the  tendency  to  formation  of  crops  of 
boils  it  is  one  of  our  best  remedies ;  in  syphilitic  skin  dis- 
orders, soft  chancre,  suppurative  bubos  it  is  of  value. 
Calcium  sulphide  is  claimed  to  be  of  value  in  bronchitis, 
pneumonia,  tubercular  conditions,  tonsillitis  and  tuber- 
cular joint  diseases.  It  is  recommended  by  some  authors 
in  bronchial  and  larvngeal  troubles ;  also  in  suffocating 
cough  and  croup.  Has  been  recommended  in  smallpox. 
It  should  not  be  given  in  so  large  doses  as  to  cause  irri- 
tation of  the  gastro- intestinal  tract.  The  first  trituration 
is,  no  doubt,  the  best  form  to  administer,  although  some 
recommend  the  2nd  trituration.  It  may  be  given  in  2  to 
5  grain  doses,  3  to  4  times  a  day.  It  is  best  to  give  it  in 
water  or  during  meals  mixed  with  the  food. 

Calendula  Officinalis : 

Syn. — Calendula,  marigold. 

P.  E. — Leaves  and  flowers. 

N.  O. — Composite. 

N.  H.— Europe. 

Use  :  In  superficial  inflammation  of  the  skin  and  cel- 
lular tissue  and  to  prevent  suppuration.  Valuable  locally 
in  recent  wounds,  cuts,  open  sores,  chronic  ulcers,  capil- 
lary engorgement  and  severe  burns.  It  is  mildly  anti- 
septic and  prevents  the  formation  of  pus.  Has  the  ad- 
vantage over  many  other  remedies  in  that  it  causes  the 
scar  or  cicatrix  to  form  without  or  with  very  little  con- 
traction of  tissue.  Favors  union  of  fresh  wounds  by  first 
intention  and  relieves  pain  to  some  extent.  May  also  be 
given  internally  to  assist  local  action  in  many  cases. 

Cannabis  Indica : 

Syn. — Indian  hemp,  cannabis  sativa. 
P.  E. — Flowering  top  of  female  plant. 
N.  O. — Urticacese. 
N.  H.— India. 


62  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Properties :  Anodyne,  sedative,  anti-spasmodic,  nar- 
cotic. 

Physiological  action :  In  large  doses  it  will  produce 
hallucination,  which,  in  some,  are  of  merriment  and  in 
others  of  a  violent  nature,  even  tendency  to  crime.  It 
dilates  the  pupils,  pain  is  relieved,  the  natural  percep- 
tion of  objects  is  perverted;  sounds  or  noise  appearing 
intensified.  In  poisonous  doses  it  will  cause  spasms,  con- 
vulsions, general  collapse,  anaesthesia  of  skin,  clammi- 
ness ;  face  pale,  pulse  weak,  profound  weakness  and  col- 
lapse, death  resulting  from  paralysis  of  respiration.  Its 
habitual  use  will  cause  bloating,  injected  eyes,  insanity, 
and  even  death  from  general  wasting  of  the  system. 

Indications :  Nervousness,  insomnia,  hallucination,  il- 
lusions of  sight  and  hearing,  stupor,  vertigo,  pain  and 
burning  in  the  urethra.  Menstrual  headache  and  neural- 
gic pain  in  dysmenorrhoea. 

Use :  It  influences  the  nervous  system.  We  think  of 
it  in  disordered  mental  states,  the  result  of  disturbed 
functions  of  the  nervous  system  ;  in  melancholy  affections 
of  the  brain  with  nervous  vertigo ;  in  wakefulness  of  old 
people  and  restlessness  of  nervous  exhaustion.  A  good 
remedy  in  involuntary  muscular  movements,  especially 
if  of  a  distressing  nature.  Will  relieve  to  some  extent 
the  girdle  pain  of  locomotor  ataxia  and  the  distress  of 
spondylitis,  hip  joint  disease  and  rickets.  Of  value  in 
sexual  excitement,  in  hysteria  and  emotional  excitement 
at  the  menstrual  period.  Claimed  to  be  a  good  remedy 
in  chronic  alcoholism.  In  subin volution  of  the  uterus  it 
is  of  benefit.  Relieves  irritation  of  the  urinary  organs 
and  is  therefore  of  value  in  cystitis,  gonorrhoea  and  gleet. 

Capsicum  Fastigiatum : 

Syn. — Capsicum,     Cayenne  pepper. 

P.  E.— Fruit. 

N.  O. — Solanacere. 

N.  H. — East  Indies,  Africa. 

Properties :  Stimulant,  rubifacient,  carminative. 

Use :  Capsicum  is  a  stimulant.  Rapidly  increases 
capillary  circulation  to  a  part  when  applied.  Taken  in- 
ternally by  its  stimulating  properties,  it  promotes  its  own 


MATERIA     MEDIC  A     AND     THERAPEUTICS  63 

absorbtion  and  thus  produces  its  effect  on  the  nerve  cen- 
ters. It  increases  the  tone  of  the  entire  system ;  in- 
creases circulation  and  produces  a  feeling  of  warmth  all 
over  the  body.  On  account  of  its  local  and  general  ef- 
fects it  is  indicated  in  atonic  conditions,  relaxed  muscular 
fibers,  and  a  general  deficiency  of  functional  force.  We 
think  of  it  in  dipsomania,  delirium  tremens,  malaria,  con- 
gestive chills  and  atonic  dyspepsia.  In  malignant  in- 
termittent fever  combined  with  quinine  it  is  one  of  our 
very  best  remedies.  It  is  best  given  in  cream  or  milk 
as  it  is  less  irritating  to  the  mucous  membrane  in  this 
form. 

Carduus  Marianus: 

Syn.— St.  Mary's  thistle. 

P.  E.— Seeds. 

N.  O. — Composite. 

N.  H. — Europe,  United  States. 

In  chronic  cases  where  there  is  venous  engorgement. 
Whenever  there  is  venous  stasis  with  veins  enlarged,  per- 
haps clogged  with  blood,  this  is  the  remedy. 

Useful  in  many  chronic  liver  and  spleenic  troubles  of 
a  congestive  nature.  In  varicose  veins  it  has  cured  where 
all  other  remedies  failed.  Must  be  given  a  long  time  as 
it  acts  slowly.  The  dose  of  tincture  of  Lloyd's  specific  is 
2  to  5  drops  3  to  4  times  a  day  for  an  adult.  If  this  can- 
not be  had  the  homoeopathic  mother  tincture  should  be 
used. 

Cascara  Sagrada : 

Syn. — Rha mints  purshiana,    Sacred  bark. 

P.  E. — 2-year-old  bark. 

N.  O. — Rhamnaceae. 

X.  H.— Pacific  States,  U.  S.  A. 

Properties :  Tonic  laxative. 

Use :  It  is  a  bitter  tonic  that  has  a  direct  influence  on 
the  stomach  and  intestines.  Its  action  is  on  the  vaso- 
motor  system,  increasing  secretion  of  the  intestinal  tract 
and  increasing  peristaltic  action,  thus  restoring  normal 
activity.  As  it  influences  the  venous  and  capillary  circu- 
lation of  the  intestinal  tract  it  is  a  remedy  that  acts  fa- 


64  MATEK1A  MEDICA  AND  CLINICAL  Til  KRAl'Kl  'TIC 'S 

vorably  in  hemorrhoids.  Cascara  is  not  a  harmful  ca- 
thartic; but  has  a  tendency  to  restore  normal  action,  and. 
for  this  reason,  is  of  great  value  in  chronic  constipation. 
It  is  best  to  give  it  in  small  doses  first  and  gradually 
increase;  then  when  stool  becomes  normal  continue  the 
last  dose  for  a  week  or  so  and  then  gradually  decrease 
dose  and  give  at  longer  intervals.  Given  in  this  way  it 
has  proved  to  be  a  valuable  remedy  in  chronic  constipa- 
tion, chronic  indigestion,  gastric  or  intestinal  catarrh  and 
in  the  temporary  constipation  of  pregnancy.  It  should 
not  be  given  in  so  large  doses  as  to  produce  pain  or 
griping. 

Cauloplyllum  Thalictroides : 

Syn. — Caulophyllum,  blue  cohosh. 

P.  E.— Root. 

N.  O. — Berberidacese. 

N.  H.— United  States. 

Properties:  Antispasmodic,  emmenagoguc,  parturi- 
ent, anti-rheumatic,  diuretic. 

Indications:  Irregular  menses,  colicky  pain  in  bowels 
after  eating,  pain  in  fingers  and  toes  without  structural 
change;  dysmenorrhoea,  spasmodic  uterine  contraction, 
uterine  pain,  fullness,  weight  and  pain  in  the  legs. 

Use :  In  chronic  uterine  disorders.  Amenorrhoea  in 
young  women.  Painful  menstruation.  General  atonic 
conditions  of  the  organs  of  generation  of  the  females 
which  manifest  themselves  by  spasms,  nervousness,  irri- 
tability, insomnia.  False  pains  of  spasmodic  nature  in 
pregnancy,  threatened  abortion.  The  action  of  caulo- 
phyllum  in  pregnancy  is  to  prolong  gestation  to  the  nor- 
mal period.  In  labor  it  is  of  value  when  the  pains  arc- 
feeble  from  atony  of  the  uterus,  patient  weak,  nervous. 
In  rheumatism  of  the  joints  and  hand  it  is  a  good  remedy. 

Ceanothus  Americanus: 

Syn. — Ceanothus ;  Red  Root ;  New  Jersey  Tea. 

P.  E.— Root. 

N.  O. — Rhamnacese. 

N.  H.— United  States. 

Properties :  Astringent,  expectorant ;  stimulating  to 
mucous  surfaces. 


MATKK1A      MKDICA      AM)      Tl'l  KUAI'Kl'TICS  65 

Physiological  action :  Taken  in  large  and  continued 
doses  in  healthy  state  it  will  produce  sticking  pain  in  the 
spleen,  increased  by  motion,  inability  to  lie  on  left  side , 
enlargement  of  the  spleen,  then  these  same  symptoms  in 
the  liver  with  enlargement  and  congestive  pain  worse 
on  touch  ;  pain  in  umbilical  region  ;  pain  and  soreness  on 
the  exterior  part  of  thigh ;  loss  of  appetite ;  tongue 
coated  with  dirty  white  coating;  emaciation  and  general 
weakness.  Urine  may  be  colored  green  with  bile,  stool 
clay  colored.  In  fact  under  the  physiological  doses  long 
continued  all  the  symptoms  of  chronic  malaria  will  de- 
velop. 

Indications :  Doughy,  sallow  skin,  expressionless 
face,  pain  in  the  region  of  the  liver  or  spleen. 

Use:  An  alterative  which  has  a  powerful  influence 
over  the  portal  circulation,  indicated  where  there  is  slug- 
gish circulation  and  inactivity  of  the  liver,  especially  if 
these  conditions  are  the  result  of  malaria.  In  enlarge- 
ment of  either  spleen  or  liver,  it  is  a  valuable  remedy 
and  if  combined  with  polymnia  uvedalia  is  even  more 
effective.  Its  use  is  confined  to  chronic  conditions  as 
above.  Its  astringency  renders  it  of  value  in  catarrhal 
conditions  of  the  mucous  surface  with  hyper  secretion 
and  without  inflammation.  In  splenic  pains,  chilliness 
with  splenic  pains  and  leucorrhoea,  it  has  proved  to  be 
of  value. 

Cephalis  Ipecacuanha : 

Syn. — Ipecacuanha  ;  Ipecac. 

P.  E.— Root. 

N.  O. — Rubiacese. 

N.  H. — South  America ;  New  Granada. 

Properties:  In  minute  doses  tonic  and  stimulant;  in 
large  doses  expectorant,  diaphoretic  and  emetic. 

Physiological  action  :  Powdered  ipecac  applied  to  the 
skin  will  produce  irritation,  redness  and  pustulation. 
The  powder  when  inhaled  is  an  irritant  to  the  mucous 
membrane  and  will  cause  in  many,  sneezing,  asthmatic 
breathing;  epistaxis,  spitting  of  blood,  and  in  some  cases 
swelling  of  eyes,  face  and  throat.  This  may  often  be 
counteracted  with  quebracho  or  uva  ursi.  In  small 


66  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

doses  it  is  a  stimulant.  In  large  doses  a  depressant.  In 
small  doses  of  ^  to  ^4  of  a  grain  it  stimulates  salivary 
and  gastric  secretion  and  has  a  general  tonic  effect  on  the 
stomach.  In  doses  of  y2  to  i  grain  it  is  a  good  expec- 
torant, while  in  2  grain  doses  it  is  diaphoretic.  In  larger 
doses  of  x  to  xx  grains  its  first  effect  is  stimulating,  after 
which  it  will  produce  nausea  and  vomiting.  It  is  milder 
and  slower  than  other  emetics  but  is  less  depressing. 
Ipecac  has  a  marked  effect  on  the  pneumogastric  nerve. 
In  many  cases  repeated  emetic  doses  will  produce  a  tol- 
eration of  the  stomach,  the  emetic  affect  being  lost,  and 
it  acts  as  a  cathartic,  the  feces  having  a  bilious  color. 
Specific  ipecacuanha  is  preferable  to  the  powder  in  most 
cases. 

Indications:  Persistent  irritation  of  the  mucous  mem- 
brane with  lack  of  secretion,  especially  in  acute  inflam- 
matory condition.  Irritation  of  digestive  tract  indicated 
by  contracted  elongated  pointed  tongue  with  red  edges. 
In  all  these  cases  it  should  be  given  in  small  doses.  As 
an  emetic  in  large  doses  it  is  indicated  where  there  is  an 
accumulation  in  the  stomach,  with  broad,  flabby,  pale  and 
heavily  coated  tongue,  showing  inactivity.  Nausea  and 
vomiting  with  pale  relaxed  membrane.  Taken  in  cold 
liquid  in  minute  doses  it  is  useful  as  a  styptic,  arrests 
nausea  and  vomiting  and  diarrhoea.  It  is  diaphoretic,  ex- 
pectorant and  emetic.  As  an  emetic  it  is  slower  than 
lobelia  but  is  less  depressing  and  often  acts  both  as  an 
emetic  and  laxative.  Taking  it  in  warm  water  makes  its 
action  more  prompt  in  such  cases.  We  think  of  it  in 
acute  bronchitis,  bronchitis  in  children.  In  infantile 
pneumonia  it  is  an  excellent  remedy.  Cough  with  de- 
ficient secretion.  In  hemorrhage  it  is  a  useful  remedy  in 
good  sized  doses.  In  dysentery  and  diarrhoea  it  is  one  of 
our  best  agents,  especially  if  combined  with  aconite.  In 
croup,  associated  with  sanguinaria,  it  is  of  great  value. 
Its  long  continued  use  may  cause  a  diarrhoea  in  some 
people  and  therefore  discretion  should  be  used.  In 
minute  doses  it  is  one  of  our  best  remedies  to  excite  the 
stomach  to  motor  activity.  Here  it  is  given  in  small 
doses  after  meals.  Syrup  of  ipecac  is  made  of  tincture 
ipecac  §i ;  simple  syrup  5vii.  Used  as  an  expectorant. 


MATKKIA    MKDICA    AND    THERAPEUTICS  67 

Chelidonium  Majus : 

Syn. — Chelidonium;  Celandine;  Tetterwort. 

P.  E.— Plant. 

N.  O. — Papaveraceae. 

N.  H. — Europe. 

Properties :  Drastic  purgative  in  moderate  or  large 
doses. 

Indications:  Full,  pale,  sallow  tongue  and  mucous 
membrane,  skin  pale,  doughy,  sometimes  even  greenish. 
Slow  pulse,  dull  pain  or  heaviness  in  the  region  of  the 
liver,  sense  of  weight  in  the  stomach;  dull,  stretchy, 
tired  feeling,  cold  extremities,  frontal  headache,  dull  sick 
headache,  vertigo,  irregularity  of  the  bowels,  melan- 
choly, pain  under  angle  of  right  shoulder  blade  ;  all  or 
any  of  the  above  indications  the  result  of  sluggish  por- 
tal circulation  and  impaired  functional  activity  of  the 
glandular  organs  of  the  abdominal  cavity. 

Use :  In  jaundice  due  to  obstruction  from  swelling  of 
mucous  membrane  that  lines  the  biliary  ducts ;  caused  by 
catarrhal  inflammation.  In  general  catarrhal  condition 
of  the  biliary  ducts.  Corrects  tendency  to  formation  of 
gall  stones.  In  conditions  where  no  bile  is  secreted  by 
the  liver  and  in  consequence  white  or  gray  colored  stools 
result  it  is  the  remedy ;  in  such  cases  urine  may  be  pale. 
Also  where  there  is  obstruction  of  the  biliary  ducts  from 
catarrhal  conditions.  In  diseases  of  the  liver  and  diges- 
tive apparatus,  the  result  of  sluggish  portal  circulation 
and  functional  inactivity  of  the  glandular  organs  of  the 
abdominal  cavity,  it  is  a  valuable  remedy.  It  has  been 
recommended  for  hydrocele  internally.  Locally  of  great 
value  -in  ringworm  and  tetter.  In  inflammation  of  the 
liver  it  is  our  best  remedy  if  alternated  or  associated 
with  other  indicated  remedies.  Chelidonium  is  claimed 
to  be  a  valuable  remedy  in  varicocele ;  but  must  be  used 
for  some  time.  Claimed  to  be  of  value  in  varicose  veins 
and  to  have  some  aphrodisac  power. 

Chenopodium  Anthelminticum : 

Syn. — American  wormseed. 
P.  E. — Seeds  of  fruit. 
N.  O. — Chenopodiacese. 


68  MATERIA  MEDICA  AND  CUiNICAL  THERAPEUTICS 

N.  H.— United  States. 

Properties :  Anthelmintic,  antispasmodic,  slightly  di- 
uretic. 

Use:  The  writer  prefers  this  in  the  form  of  fluid  ex- 
tract, to  remove  worms  from  the  intestinal  tract.  Fif- 
teen to  thirty  drops  in  proper  menstrum  y2  to  I  hour 
before  breakfast  and  just  before  retiring  is  the  average 
dose  for  a  child  about  10  years  old.  This  should  be  con- 
tinued for  3  or  4  days  followed  by  a  good  laxative  at  the 
expiration  of  this  time.  To  be  repeated  after  some  days 
if  not  successful.  It  will  act  more  powerfully  if  com- 
bined with  spigelia  and  male  fern. 

Chimaphila  Umbellata : 

Syn. — Chimaphila  ;   Pipsissiwa. 

P.  E.— Whole  plant. 

N.  O. — Ericaceae. 

N.  H. — United  States,  Europe. 

Properties :  Tonic,  astringent,  diuretic,  diaphoretic, 
alterative. 

Indications:  In  chronic  diseases  of  the  genito-urinary 
organs,  with  scanty  urine ;  smarting  sensation  on  passing 
urine. 

Use:  It  removes  irritation  of  the  kidneys,  urinary 
tract,  wrongs  of  the  skin,  lymphatic  glands  and  blood, 
which  are  caused  by  presence  of  waste, products,  result- 
ing from  defective  katabolism.  Is  a  tonic  to  the  general 
system,  removes  dropsical  accumulation  and  restores  the 
excretory  functions  to  normal  condition.  We  think  of 
it  in  uric  acid  diathesis,  lithremea,  gravel,  excess  of  uric 
acid,  brick  dust  sediment  in  urine,  chronic  catarrh  of  the 
bladder.  In  dropsy  from  disease  of  the  kidneys  and 
where  there  are  enlarged  glands  and  a  general  debilitated 
condition  it  is  a  valuable  adjunct  to  other  indicated  rem- 
edies. 

Chionanthus  Virginica : 

Syn. — Chionanthus;  Fringetree. 

P.  E. — Bark  of  root. 

N.  O.— Oleacex. 

N.  H.— Southern  States,  U.  S.  A. 


M  ATHUIA    MEDICA    AND   THERAPEUTICS  69 

Properties  :  Aperient ;  cholagogue ;  mildly  diuretic. 

Indications:  Clay  colored  stool,  high  colored  urine, 
yellowness  of  skin  and  conjunctiva  result  of  jaundice. 
Itching  of  the  skin  result  of  absorbtion  of  bile  and  jaun- 
dice. Sense  of  uneasiness  in  right  hypochondrium  or 
abdominal  pain  simulating  colic.  Where  there  is  torpor 
of  the  bile  secreting  functions,  it  will  arouse  cellular 
activity  of  the  biliary  apparatus. 

Use:  It  overcomes  the  catarrhal  conditions  of  the 
bile  ducts,  thins  the  bile  and  prevents  formation  of  calculi 
and  favors  the  passage  of  those  formed.  In  jaundice, 
acute  or  chronic  congestion  of  the  liver  with  deficient 
discharge  of  bile  or  catarrh  of  the  bile  ducts  it  is  our  best 
remedy  when  indicated.  In  jaundice  from  occlusion  of 
the  bile  ducts,  impacted  gall  stones  or  obstruction  from 
a  tumor  or  growth  it  of  course  is  of  no  value.  It  acts 
nicely  with  iris  versicolor,  polymnia,  podophyllum,  lep- 
tandra  or  sodium  phosphate. 

Chloral  Hydrate: 

Syn. — Chloral. 

Properties :  Hypnotic,  anaesthetic,  sedative  and  nar- 
cotic. 

Physiological  action :  In  overdoses  it  will  produce 
profound  narcosis,  a  marked  reduction  in  temperature, 
pulse  and  respiration.  The  pulse  becomes  more  irregu- 
lar, rapid,  feeble  and  thready;  complete  muscular  relax- 
ation, coma  and  death  result  from  paralysis  of  the  res- 
piratory nerve  centers  and  cardiac  motor  ganglia.  In  full 
therapeutic  doses  if  indicated  it  produces  sleep  which  is 
not  followed  by  headache  or  depression.  It  appears  to 
cause  an  anaemia  of  the  central  nervous  system,  and  for 
that  reason  is  indicated  where  there  is  marked  cerebral 
excitement  with  engorgement.  It  has  no  anodyne  prop- 
erties but  is  a  hypnotic  and  thus  sometimes  overcomes 
pain  to  some  extent,  by  overwhelming  the  centers  and 
acting  indirectly  as  an  anaesthetic.  It  must  be  borne  in 
mind  that  it  has  little  control  over  pain.  Used  hypoder- 
mically  it  often  produces  inflammation  and  ulcers,  and 
for  that  reason  should  never  be  used  in  that  manner.  In 
small  doses  it  increases  the  fluidity  of  the  blood,  while 


/O  MATERTA  MED1CA   AND  CLINICAL  THERAPEUTICS 

in  large  doses  it  destroys  the  blood  corpuscles,  especially 
the  white.  Used  for  some  length  of  time  it  will  cause 
those  symptoms  for  which  it  is  generally  given.  A  red 
rash  will  appear  on  the  skin,  which  is  generally  followed 
by  desquamation.  Appetite  is  impaired,  bad  taste  and 
breath,  fetid  discharges  and  a  general  disturbance  of  the 
gastro-intestinal  tract,  with  deficient  secretion. 

Use :  It  acts  first  upon  the  cerebral  ganglion  cells, 
then  on  the  spinal  ganglia  and  then  upon  the  heart.  Dur- 
ing its  use  the  temperature  is  reduced,  muscles  relaxed, 
showing  that  its  first  action  is  on  the  sympathetic  gan- 
glia. It  is  then  plain  that  chloral  should  only  be  used 
in  conditions  where  there  is  increased  heart's  action  and 
nervous  excitement.  In  conditions  where  there  is  great 
restlessness  with  nervous  excitability  it  will  produce  a 
natural  sleep.  We  think  of  it  in  sleeplessness,  delirium 
tremens,  chorea,  hysteria,  asthma,  whooping  cough  ;  in 
which  cases  it  will  produce  quiet  rest  and  sleep.  In  pru- 
ritus from  nervous  causes  it  has  given  relief.  Where 
there  is  a  rigid  os  uteri  no  progress  being  made  in  labor 
and  where  the  vagina  is  hot  and  there  is  irritating  pain, 
it  is  a  valuable  remedy  and  it  will  correct  the  rigidity 
and  nerve  excitement.  In  delirium  of  fevers,  especially 
inflammatory,  it  may  be  given.  It  is  a  valuable  hypnotic 
if  indicated.  Some  people  will  not  bear  the  drug  well 
and  it  should  therefore  first  be  given  in  small  doses  and 
its  effect  watched.  It  should  never  be  given  in  any  con- 
dition where  there  is  marked  depression.  As  this  remedy 
is  profound  in  its  action  we  find  that  milder  remedies 
such  as  passiflora  or  gelsemium  are  safer,  and  if  effective 
should  be  substituted. 

Chloroform : 

Properties :  Anaesthetic,  antispasmodic,  sedative.  A 
colorless,  heavy  liquid  having  a  sweet,  burning  taste.  It  is 
not  inflammable ;  but  when  heated  will  burn  with  a 
green  flame.  Dissolves  sparingly  in  200  parts  of  water. 
Dissolves  in  alcohol,  ether,  benzene,  essential  and  fixed 
oils.  Chloroform  has  great  solvent  power.  Decomposes 
in  daylight  or  sunlight,  therefore  should  be  kept  in  dark 
bottle  or  in  a  dark  place. 


MATERIA    MEDICA    AND   THERAPEUTICS  7 1 

Physiological  action  :  Taken  internally  it  is  a  power- 
ful irritant  to  the  mucous  membrane,  producing  heat, 
burning  and  gastric  irritation.  If  taken  undiluted  in  suf- 
ficient quantity  it  will  produce  narcosis  followed  by  vio- 
lent gastro-enteritis.  In  5  to  10  drop  doses  in  water  it 
produces  a  feeling  of  warmth  in  the  stomach.  In  */2  tea- 
spoonful  doses  taken  in  water  the  pulse  will  become 
slower,  circulation  a  little  slower  and  a  mild  anaesthetic 
effect  follows.  It  should  always  be  well  diluted  if  taken 
internally.  Locally  applied  it  relieves  pain  and  dimin- 
ishes sensibility.  If  applied  oftener  and  evaporation  is 
prevented  it  will  cause  pain,  redness  and  vesication. 

Use:  Its  action  is  mainly  on  the  brain  and  spinal  cen- 
ters. If  inhaled  it  lowers  arterial  pressure  and  depresses 
the  heart's  action.  Death  results  generally  from  paraly- 
sis of  the  heart;  while  death  from  ether  is  by  asphyxia- 
tion. The  action  of  chloroform  is  in  3  stages.  In  the 
first  stage  only  slight  effect  is  noticed,  patient  being 
conscious,  but  senses  are  blunted  somewhat.  Pulse  will 
beat  a  little  faster  in  this  stage.  In  the  second  stage  the 
consciousness  and  sensibility  are  abolished  and  muscles 
become  relaxed,  the  pulse  beating  about  normal.  In  the 
3rd  stage  there  is  full  narcosis  with  stertorous  breathing, 
rapid  and  weak  pulse.  If  chloroform  is  administered 
prepare  patient  if  possible  ;  nothing  should  be  eaten  for 
at  least  2  hours  before  as  vomiting  may  result  otherwise ; 
loosen  clothing  and  place  in  recumbent  position.  See 
that  the  patient  is  calm  and  if  too  nervous  and  weak  a 
little  opium  may  be  given  shortly  before  giving  the  anaes- 
thetic. Alcoholic  stimulants  may  be  given.  Give  no 
more  than  needed  and  watch  the  respiration  carefully,  the 
face,  pulse,  lips  and  cheeks.  If  breathing  becomes  ster- 
torous, if  face  becomes  pallid  or  purple,  if  patient  gasps 
for  breath  danger  is  near,  especially  in  the  latter  case. 
To  resusciate  use  artificial  respiration,  lower  the  head, 
pull  out  tongue,  if  necessary  stretch  the  sphincter  ani 
muscle,  slap  chest,  see  that  patient  gets  fresh  air.  Al- 
ways have  an  assistant  at  hand.  During  operation  if 
patient  looks  conscious  and  flinches  or  has  pinched  ex- 
pression with  eyelids  turned  up,  give  more.  In  heart 
disease  or  disease  of  the  lungs  it  is  dangerous  to  use. 


72  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Outside  of  its  full  effect  in  operations,  etc.,  we  think  of 
it  for  giving  immediate  relief  in  all  spasmodic  troubles. 
In  spasmodic  asthma  it  is  our  best  remedy ;  if  enough  is 
inhaled  to  relax  muscles  and  produce  normal  respira- 
tion. Use  in  attacks  of  hysteria  as  a  last  resort,  in  puer- 
peral convulsions,  in  chorea  and  tetanus  if  no  other 
remedy  relieves,  in  whooping  cough.  In  obstetrical  prac- 
tice it  is  of  great  value  as  it  relieves  pain  and  does  not 
interfere  with  uterine  contractions,  while  it  does  relax 
and  mitigates  the  suffering.  It  is  a  good  local  anodyne 
in  neuralgia  or  lumbago.  Chloroform  is  dangerous  to 
use  for  those  who  have  taken  the  gold  cure  for  liquor 
habit. 

Cimicifuga  Racemosa : 

Syn. — Cimicifuga  ;  Black  cohosh  ;  Macrotys. 

P.  E. — Fresh  root. 

N.  O. — RanunculacecT. 

N.  H. — United  States  and  Canada. 

Properties :  Tonic,  nervine,  antispasmodic.  In  large 
doses  diaphoretic. 

Physiological  action  :  The  vaso-motors  and  the  car- 
diac ganglia  are  influenced  by  this  drug.  The  first  sign 
of  its  physiological  action  in  large  doses  is  a  bursting 
and  tearing  headache  with  flushed  face  and  injected  eyes. 
If  continued  it  will  be  followed  by  gastro-intestinal  irri- 
tation, dimness  of  sight,  vertigo  followed  by  a  slow 
pulse  and  profound  prostration  and  relaxation. 

Indications :  In  muscular  pains  of  a  tensive,  aching 
nature,  especially  from  rheumatism.  Pains  comes  in 
waves  and  there  is  a  feeling  of  soreness  as  if  from  over- 
work or  overstrain ;  muscular  movement  increases  the 
pain.  The  remedy  in  muscular  rheumatism. 

Use:  It  relieves  irritation  of  the  nerve  centers  that 
cause  contraction  of  muscles.  Its  influence  manifests 
itself  mostly  at  the  nerve  periphery,  quieting  excitement 
and  relieving  capillary  congestion.  We  think  of  it  in 
muscular  rheumatism,  hysteria  with  flushed  face.  In 
chorea  give  in  large  doses.  Will  correct  wrongs  of  men- 
struation, relieving  pain  and  tending  towards  normal 
functional  activity ;  especially  if  there  is  sacro  pubic  pains 


MATRRTA    MEDIC  A    AND   THERAPEUTICS  73 

of  a  wavy  nature  radiating  in  all  directions.  Soreness 
and  dragging  pain  in  the  back  due  to  rheumatism  or 
rheumatic  neuralgia  of  the  uterus  or  ovaries  are  relieved 
by  cimicifuga.  Of  value  in  dysmenorrhcea  and  amen- 
orrhoea.  It  will  relieve  after-pains,  false  pains  during 
labor  and  unpleasant  sensation  in  the  uterus  of  pregnant 
women.  In  uterine  diseases  with  tensive  aching  pains 
and  a  sense  of  contraction  in  absence  of  inflammation  it 
is  the  remedy.  Of  value  in  the  muttering  delirium  of 
pneumonia  or  typhoid  fever,  especially  in  the  latter.  In 
rheumatic  heart  troubles,  roaring  in  the  ears,  the  result 
of  rheumatic  conditions,  it  is  of  value.  Generally  we 
associate  it  with  aconite  or  veratrum  viride.  Cimicifuga 
is  an  excellent  remedy  in  muscular  rheumatism  in  any 
part  of  the  body. 

Cinnamomum  Zeylanicum:  , 

Syn. — Cinnamon. 

P.  E. — Inner  bark. 

N.  O. — Lauracese. 

N.  H.— Ceylon. 

Properties:  Astringent,  stimulant. 

Use :  One  of  our  best  remedies  to  control  post  par- 
turn  hemorrhages.  In  flooding  during  miscarriage,  in 
menorrhagia,  and,  in  fact,  in  all  forms  of  passive  hem- 
orrhages it  is  a  fine  remedy.  May  be  combined  with 
hamamelis  or  erigeron  or  both  to  advantage.  This  will 
control  most  passive  hemorrhages  better  than  other 
combinations.  Of  value  in  epistaxis.  It  works  best  in 
the  parturient  state  where  there  is  a  condition  of  atony 
and  a  general  relaxed  condition  of  the  uterus.  In  hema- 
turia  and  pulmonary  hemorrhage  it  is  of  great  value.  It 
sometimes  irritates  the  stomach  and  is  contra-indicated 
in  inflammation  of  the  gastro-intestinal  tract. 

Cocaine  Hydrochlorate : 

Cocaine  is  an  alkaloid  of  erythroxylon  coca  and  co- 
caine hydrochlorate  is  produced  by  the  action  of  hydro- 
chloric acid  on  cocaine.  It  is  soluble  in  alcohol,  ether 
and  water;  has  a  bitter  taste,  no  odor,  is  of  a  white  color 


74  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

and  is  in  form  of  crystals.  It  is  mostly  used  hypodermic- 
ally;  the  strength  varies  from  2%  to  4%  solution,  accord- 
ing to  conditions  and  susceptibility  of  the  patient. 

Physiological  action :  Used  internally  it  acts  as  a 
stimulant  to  the  brain,  in  medicinal  doses,  and  causes  a 
feeling  of  strength  and  endurance  and  even  exhilaration. 
After  this  effect  is  worn  off,  depression  and  general  lassi- 
tude follow.  In  toxic  doses  the  pulse,  which  may  be 
strong  and  rapid,  will  become  rapid,  small  and  inter- 
mittant ;  respiration  becomes  slow  and  shallow  with  a 
feeling  of  tightness  around  the  chest,  cold  and  clammy 
skin,  dilated  pupils;  a  feeling  as  if  death  was  near;  in- 
co-ordination  of  muscles,  hallucinations,  delirium  and 
death  resulting  from  paralysis  of  the  sensory  spinal,  res- 
piratory and  cardiac  motor  ganglia.  Locally  as  an 
anaesthetic  it  paralyses  the  terminal  nerves,  and,  by  con- 
veying this  paralyzing  action  to  the  nerve  centers,  we 
can  readily  see  why  at  times  it  becomes  a  source  of 
danger,  especially  if  near  the  brain  centers.  When  in- 
jected it  produces  an  anaemia  followed  by  coldness  and 
finally  by  loss  of  sensation.  It  has  little  effect  on  the 
skin  if  unbroken  ;  but  is  very  easily  absorbed  by  the  mu- 
cous membrane.  As  a  local  anaesthetic  in  minor  opera- 
tions, ophthalmic  practice  and  ear  and  nose  practice  it  is 
extensively  used  and  with  success ;  but  its  effect  should 
be  carefully  watched  as  some  persons  are  very  susceptible 
to  its  influence.  Surgical  wounds  will  not  heal  so  well 
where  cocaine  has  been  used,  and  for  that  reason  it  is 
objectionable  in  many  cases. 

Use:  As  stated  before,  it  is  quite  extensively  used  as 
a  local  anaesthetic  in  minor  operations.  In  epistaxis  a 
i%  solution  sprayed  into  the  nose  will  often  promptly 
stop  the  bleeding.  No  matter  in  what  form  and  how  it 
is  used  its  action  should  always  be  very  carefully 
watched,  and,  if  any  symptoms  of  poisoning  appear,  it 
should  be  discontinued  at  once  and  if  necessary  its  ef- 
fects counteracted.  It  should  not  be  used  internally 
unless  possitively  necessary ;  nor  be  used  any  length  of 
time  hypodermically  to  avoid  the  danger  of  forming  the 
cocaine  habit.  Solutions  made  of  cocaine  will  not  keep, 
but  a  grain  or  two  of  boracic  acid  added  to  y2  ounce  of 


M  ATKRIA    MEDICA    AND   THERAPEUTICS  75 

a  i  to  4%  solution  will  preserve  it  for  some  time.  Of 
late  cocaine  has  been  injected  into  the  spine  in  the  lum- 
bar region  in  major  operation  of  the  legs  and  even  of  the 
pelvic  organs.  This  needs  further  investigation. 

Colchicum  Autumnale: 

Syn. — Colchicum  ;   Meadow  saffron. 

P.  E. — Bulbs  and  seeds. 

N.  O. — Liliacese. 

N.  H. — Europe. 

Properties :  Cathartic ;  sedative.  In  large  doses 
powerful  irritant  poison. 

Physiological  action :  In  very  large  doses  it  will  cause 
severe  irritation  and  even  inflammation  of  the  gastro- 
intestinal tract,  followed  by  severe  griping,  vomiting, 
purging,  spasms  of  the  muscles,  general  collapse,  and,  in 
extreme  cases,  delirium,  coma  and  even  death.  In  large 
but  less  toxic  doses  it  will  cause  irritation  of  the  gastro- 
intestinal tract,  appetite  becomes  impaired,  vomiting, 
pain  in  the  abdomen  of  a  colicky  nature,  with  diarrhoea 
of  a  mucous  and  even  bloody  nature.  In  moderate  doses 
where  there  is  a  cathartic  effect  it  is  very  depressing  to 
the  heart  and  general  circulation,  and  for  that  reason 
should  never  be  given  in  so  large  doses  as  to  produce  this 
effect. 

Use :  In  chronic  rheumatism  and  gout.  It  should 
never  be  given  in  doses  to  produce  its  cathartic  effect, 
as  it  is  too  irritating,  nor  should  it  be  continued  any 
length  of  time  on  account  of  its  depressing  effect  on  the 
heart  and  nervous  system.  In  rheumatic  carditis  or 
pericarditis  in  the  sthenic  stage  it  has  proved  to  be  su- 
perior to  other  remedies  in  many  cases. 

Collinsonia  Canadensis : 

Syn. — Collinsonia;  Stone  root. 
P".  E.— Whole  root. 
N.  O.— Labiatse. 
X.  H. — North  America. 

Properties :  Tonic,  stimulant,  carminative,  alterative, 
diuretic,  diaphoretic  and  astringent. 

Indications:  Sense  of  constriction,  pain  and  constric- 


76  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

tion  with  irritation  in  throat,  larynx,  bladder  and  anus ; 
a  feeling  as  if  a  foreign  body  was  lodged  in  the  part.  Pain 
in  the  rectum  and  lower  bowels. 

Use :  Has  a  special  influence  on  the  nervous  system 
and  mucous  membranes,  removing  congestion  and  im- 
proving circulation  of  the  capillaries.  This  influence  is 
most  marked  in  relaxed  conditions  of  the  mucous  mem- 
branes of  the  throat  and  lower  bowels.  A  valuable  rem- 
edy in  sore  throat,  laryngitis,  pharyngitis,  with  relaxed 
and  enfeebled  capillary  circulation.  May  be  combined 
to  advantage  with  other  indicated  remedies  in  atonic  dys- 
pepsia, catarrhal  gastritis  with  defective  circulation  and 
irritable  condition  of  the  heart  from  weakness.  In  hem- 
orrhoids, when  indicated,  it  is  our  best  remedy.  In  these 
cases  it  should  be  used  in  small  doses.  Scudder  recom- 
mends it  in  nurse's  sore  mouth,  and  no  doubt  it  is  ef- 
fective in  such  cases  where  there  is  relaxed  condition 
with  impaired  capillary  circulation  in  the  parts.  It  is 
generally  given  in  doses  of  4  to  6  drops,  with  the  excep- 
tion of  hemorrhoids,  where  y2  to  I  drop  doses  are  more 
effective  than  the  larger  doses. 

Colocynthis : 

Syn. — Citrullus  colocynthis. 

P.  E. — Dried  fruit  without  seeds. 

N.  O. — Cucurbitaceae. 

N.  H.— Asia. 

Properties :  Drastic  hydragogue  cathartic ;  in  large 
doses  a  powerful  irritant. 

Physiological  action :  In  very  large  doses  it  causes' 
vomiting,  diarrhoea  with  bloody  stool,  colicky  pain,  some- 
times even  spasms  and  death. 

Indications:  Spasmodic  cutting  pain  in  the  stomach 
and  bowels.  Intestinal  colic.  Infantile  colic  where  child 
draws  up  the  legs  and  cries,  otherwise  appearing  to  be 
well.  Colic  that  is  relieved  by  bending  forward  or  by 
pressure  and  where  there  are  more  of  nervous  phenom- 
ena than  inflammation. 

Use :  We  think  of  it  in  infantile  colic,  neuralgic  colic, 


M.VI -EKIA    MKUICA    AND   THERAPEUTICS  77 

and  flatulent  colic.  In  large  doses  it  is  a  powerful  de- 
pressant and  drastic  cathartic ;  therefore  it  is  contra-indi- 
cated in  inflammatory  and  feeble  condition.  In  dyspep- 
sia or  colic,  where  the  pain  is  near  and  above  the  umbil- 
icus, of  a  sickening'  nature,  intense  and  vibrating,  ex- 
tending to  the  spinal  column,  it  is  a  good  remedy.  A 
valuable  remedy  in  gastric  pain,  especially  if  combined 
with  nux  vomica  in  absence  of  irritation  or  inflammation 
of  the  gastrointestinal  tract.  Colocynth  should  always 
be  given  in  small  doses.  (See  colocynthis  in  part  II.) 

Convallaria  Majalis : 

Syn. — Convallaria ;  Lily  of  the  Valley. 

P.  E.— Whole  plant. 

N.  O. — Liliaceae. 

N.  H. — Europe,  Asia,  America. 

Properties  :     Cardiac  tonic,  diuretic. 

Indications :  In  organic  weakness  of  the  heart  with 
valvular  insufficiency,  especially  if  accompanied  by 
dropsy.  A  valuable  remedy  for  dropsical  infiltration 
anywhere  if  due  to  heart  inefficiency. 

Use :  As  it  is  not  a  poisonous  remedy  and  has  no  cum- 
ulative action  it  is  a  valuable  and  safe  remedy  to  use  if 
not  contra-indicated.  It  strengthens  the  heart's  action, 
slows  a  rapid  and  feeble  pulse,  improves  tone  and  power 
of  the  heart  and  improves  the  whole  capillary  circulation. 
Its  influence  is  permanent.  It  is  more  of  a  tonic  than 
cactus.  In  dropsy  where  there  is  sluggish  circulation  and 
diminished  blood  pressure  it  may  be  given  in  large  doses 
in  a  cup  of  hot  water.  In  Bright's  disease,  general  de- 
pression, depressing  effect  of  protracted  fevers  or  inflam- 
mation. In  rheumatism  of  the  heart,  rheumatic  carditis 
or  pericarditis.  In  mitral  insufficiency  and  constriction, 
dilatation  of  the  heart,  chronic  asthma,  result  of  enfeebled 
heart,  tobacco  and  bicycle  heart.  Although  the  physio- 
logical action  of  Convallaria  is  not  fully  understood  a 
fact  remains  that  it  will  produce  irritation  in  large  doses, 
in  which  cases  it  will  cause  restlessness,  tremor,  stupor, 
dilated  pupils,  subnormal  temperature,  rapid  and  irreg- 


7  MATER1A  MEDICA   AND  CLINICAL  THERAPEUTICS 

ular   pulse,   flushed   face,   shallow   respiration   and   even 
convulsions. 

Cornus  Florida : 

Syn. — Cornus  ;  Dogwood. 

P.  E.— The  bark  of  the  root. 

N.  O. — Cornaceae. 

N.  H.— United  States. 

Properties:  Tonic,  antispasmodic,  slightly  astringent. 

Use :  It  is  a  tonic  and  antiperiodic  and  of  special  value 
in  chronic  malaria  with  weak  pulse,  depressed  tempera- 
ture, relaxed  and  feeble  tissues  and  general  exhaustion, 
in  which  cases  it  should  be  combined  with  other  indicated 
remedies.  It  tones  up  the  system,  counteracts  the  malar- 
ial poison,  improves  digestion  and  appetite. 

Corydalis  Formosa : 

Syn. — Corydalis;  Turkey  corn. 

P.  E.— Root. 

N.  O. — Fumariacese. 

N.  H.— United  States. 

Properties:  Tonic,  alterative,  antisyphilitic,  mildly 
diuretic. 

Use:  An  alterative  of  great  value  where  indicated. 
Increases  the  vitality  and  influences  metabolism.  Es- 
pecially indicated  in  all  glandular  derangement  with  gen- 
eral depraved  condition  of  the  system,  where  the  nutri- 
tive forces  are  impaired.  It  increases  waste  and  im- 
proves nutrition.  More  especially  indicated  in  above 
conditions  where  there  is  an  enlarged  abdomen,  the  re- 
sult of  atony,  or  where  there  is  a  persistently  coated 
tongue  and  fetid  breath.  In  diarrhoea  and  dysentery 
where  tongue  is  coated,  breath  fetid  and  digestion  poor, 
it  is  a  good  remedy.  In  amenorrhoea,  dysmenorrhcea  and 
leucorrhcea  where  there  is  a  relaxed  condition  of  the 
uterine  supports  it  is  a  valuable  adjunct  to  other  indicated 
remedies.  In  eczema  and  other  skin  diseases  with  re- 
laxed conditions  it  is  curative.  It  is  an  antisyphilitic  and 
can  be  used  in  all  stages  of  syphilis,  strumous  conditions, 
nodular  swelling,  enlarged  glands,  with  good  results. 


MATERIA    MEDICA    AND   THERAPEUTICS  79 

Crataegus  Oxyacantha: 

Syn. — Cratsegus  ;  Hawthorn. 

P.  E.— Fruit. 

N.  O.— Rosace.-e. 

N.  H. — North  America,  Europe. 

Properties :  Heart  tonic  and  restorative. 

Use :  This  is  a  superior  remedy  in  various  heart 
troubles,  it  not  only  relieves,  as  many  other  remedies  do, 
but  often  proves  curative  as  well.  Being  a  good  heart 
tonic  and  restorative  it  improves  circulation  and  con- 
sequently favors  better  oxygenation  of  the  blood.  We 
think  of  it  in  hypertrophy,  valvular  insufficiency,  pre- 
cordial  oppression,  tachycardia,  neuralgia  of  the  heart, 
cardiac  dropsy,  or  dropsy  the  result  of  weak  heart's  ac- 
tion ;  vertigo,  apoplexy,  angina  pectoris,  pericarditis  and 
myocarditis.  Of  value  in  Blight's  disease  and  diabetes. 
Tt  appears  to  have  solvent  and  absorbent  power,  and  has 
been  found  to  be  of  value  on  that  account  in  atheroma, 
sclerosis  of  the  arteries  and  also  in  calcareous  and  other 
similar  deposits  in  the  arteries.  This  drug  needs  further 
investigation.  Crataegus  oxyacantha  has  often  given 
good  results  where  other  heart  remedies  have  failed..  If 
it  should  cause  nausea  or  fullness  in  the  head  the  dose 
should  be  reduced.  A  valuable  heart  tonic. 

Cucurbita  Citrullus : 

Syn. — Watermelon. 

P.  E.— Seeds. 

N.  O. — Cucurbitacese. 

N.  H. — Cultivated  in  most  all  countries. 

Properties :  Diuretic. 

Use  :  The  fluid  extract  or  an  infusion  of  the  seeds  may 
be  used.  A  remedy  used  for  infants  to  a  great  extent 
where  urination  is  painful  and  scanty.  Useful  in  irrita- 
tion and  inflammation  of  the  bladder.  Relieves  irritation, 
heat  and  burning  during  urination,  giving  a  cooling  sen- 
sation as  well  as  relieving  pain  in  the  region  of  the  kid- 
neys from  irritation.  A  soothing  remedy  in  pains  in  the 
back  from  irritation  of  passing  urates  and  phosphates. 
Fluid  extract  may  be  given  diluted  in  l/2  to  I  drachm 
doses  but  infusion  is  preferable. 


80  MATERI A   MKD1CA  AND  CLINICAL  THERAPEUTICS 

Cypripedium  Pubescens : 

Syn. — Cypripedium  ;  Yellow  Lady's  Slipper. 

P.  E.— Root. 

N.  O. — Orchidacese. 

N.  H. — North  America. 

Properties  :  Tonic  ;  stimulant ;  antispasmodic  ;  slightly 
diaphoretic. 

Use:  A  mild  stimulant  to  'the  nervous  system, 
useful  in  nervousness  caused  by  functional  derange- 
ment. If  the  nervous  condition  depends  on  disorders  of 
the  reproductive  organs,  especially  of  females,  it  will  re- 
lieve the  restlessness,  excitability,  mental  depression,  pain 
and  sleeplessness.  May  be  used  to  advantage  in  children 
in  teething  when  there  is  determination  of  blood  to  the 
brain.  In  sinking  spells  in  fevers,  nervousness  and  pain 
associated  with  neuralgia,  irritation  from  atony,  nervous- 
ness from  mental  over-exertion,  in  threatened  convul- 
sions of  children,  hypochondriasis,  nervousness  and  de- 
pression from  gastro-intestinal  irritation.  As  it  acts 
very  mildly  and  in  functional  disorders  only,  and  its  ef- 
fects are  temporary,  we  must  give  it  in  large  doses  of  say 
from  5  to  30  drops  as  a  dose. 

Digitalis  Purpurea : 

Syn. — Digitalis ;  Foxglove. 

P.  E. — Leaves  of  second  year's  growth. 

N.  O. — Scrophulariacese. 

N.  H. — Europe. 

Properties :  Cardiac  tonic,  indirectly  diuretic. 

Physiological  action  :  In  large  doses  digitalis  is  an  ir- 
ritant to  mucous  membrane,  therefore  will  cause  gastro- 
intestinal disturbances,  sneezing,  nausea,  increased  action 
of  the  kidneys,  sometimes  even  vomiting.  In  toxic  doses 
the  above  symptoms  are  much  more  pronounced,  there 
is  purging,  with  green  colored  feces,  violent  vomiting, 
heart's  action  becomes  irregular,  vertigo,  impaired  vision, 
cold  sweats,  respiration  becomes  rapid  and  feeble,  pulse 
irregular,  great  debility,  coma,  convulsions,  and  death 
follows  from  paralysis  of  the  heart.  It  is  a  heart  tonic 


}!. \TKRI  A    MEDICA    AND    T  1 1  KKA  I'Kl'TICS  8l 

and  vascular  stimulant.  In  small  doses  a  heart  stimulant, 
while  in  large  doses  it  is  a  very  powerful  sedative.  It 
gives  the  heart  a  rest  by  prolonging  the  diastole;  thus 
permitting  the  vessels  to  become  filled  to  their  fullest 
capacity.  In  medium  doses  it  slows  the  heart's  action 
and  increases  its  force.  It  stimulates  the  cardiac  inhibi- 
tory apparatus,  the  cardiac  motor  ganglia  and  vaso-motor 
centers ;  thus  contracting  the  arterioles  and  increases 
arterial  tension.  If  too  large  doses  are  taken,  or  too  fre- 
quent, it  will  result  in  overstimulation  and  finally  paraly- 
sis ;  the  heart's  action  being  arrested  in  systole. 

Use :  As  digitalis  is  a  direct  heart  stimulant  it  is  in- 
dicated in  marked  asthenic  conditions;  in  prostration,  sur- 
gical shock,  in  crisis  of  extremely  exhausting  diseases 
given  with  stimulants  it  generally  acts  promptly.  It  sus- 
tains the  heart's  action  ;  but  does  not  give  tone  to  it, 
therefore  it  should  be  followed  as  soon  as  possible  by 
other  indicated  agents.  In  asthenic  fevers  it  will  slow  a 
rapid  and  feeble  pulse;  in  prolonged  fevers  where  tem- 
perature remains  high  and  there  is  rapid,  feeble  and  easily 
compressed  pulse  or  irregular  heart's  action ;  all  showing 
a  failure  of  the  vital  forces,  it  is  a  valuable  remedy.  It 
will  reduce  the  temperature,  control  pulse  and  improve 
the  action  of  the  heart.  Here  other  sedatives  may  in- 
crease the  trouble  and  are  very  often  contra-indicated. 
On  account  of  its  cumulative  action  in  the  system  and  its 
irritating  action  on  the  digestive  tract  it  should  not  be 
long  continued  and  its  effect  carefully  watched.  Its  cum- 
ulative effect  often  shows  itself  by  decreased  quantity  of 
urine,  and  when  this  is  noticed  it  should  be  discontinued. 
In  emergency  after  taking  large  doses  the  recumbent 
position  should  be  maintained.  Its  action  is  mainly  on 
the  inhibitory  nerves  and  on  the  heart  muscles.  Al- 
though digitalis  is  used  extensively  the  .  writer  seldom 
uses  it  in  his  practice.  We  have  less  dangerous,  less  irri- 
tating and  non-cumulative  remedies,  that  give  far  better 
results  in  most  cases.  In  many  sthenic  conditions  where 
digitalis  is  used,  lycopus  virginica  answers  the  purpose 
much  better.  However,  as  an  emergency  remedy,  digi- 
talis has  its  value. 


82  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Dioscorea  Villosa: 

Syn. — Dioscorea;  Wild  Yam. 

P.  E. — The  rhizome. 

N.  O. — Dioscoreaceae. 

N.  H.— United  States. 

Properties :  Antispasmodic,  cholagogue,  slightly  di- 
aphoretic. 

Use:  In  spasmodic  griping  pain  in  stomach  and 
bowels,  especially  if  from  malarial  cause  or  from  wrongs 
of  the  hepatic  functions.  A  specific  in  bilious  colic.  We 
think  of  it  in  pain  and  muscular  spasms  of  the  intestines; 
pain  resulting  from  the  passing  of  gall  stones  and  in 
spasmodic  colic  generally.  If  no  relief  is  obtained  in  a 
few  hours  no  results  can  be  expected  in  spasmodic  con- 
ditions. It  is  especially  indicated  in  pains  in  the  gastro- 
intestinal tract  that  are  relieved  by  bending  backward. 
It  is  of  use  in  neuralgic  dysmenorrhoea,  ovarian  neural- 
gia, spasmodic  pains  in  cholera  morbus,  dysentery,  chol- 
era infantum  and  colicky  pains  in  general,  being  sedative 
to  the  muscular  structures  of  the  intestinal  tract.  Can 
be  used  "to  advantage  in  the  tympanitis  of  typhoid  fever. 
In  dysmenorrhoea  it  appears  to  work  best  where  the  irri- 
tation of  the  cervix  of  the  uterus  is  of  a  spasmodic  na- 
ture. For  colic  and  spasmodic  griping  pain  it  should  be 
given  in  doses  of  even  15  to  20  drops  and  repeated  when 
necessary,  while  in  ordinary  cases  to  act  on  the  hepatic 
functions  or  to  correct  a  tendency  to  flatulence  i  or  2 
drachms  to  4  ounces  of  water ;  a  teaspoonful  after  meals 
and  before  retiring  answer  the  purpose  well.  For  colic 
it  may  be  given  in  hot  water  to  advantage.  It  is  not  a 
powerful  remedy,  but  where  indicated  is  very  good. 

Drosera  Rotundifolia : 

Syn. — Drosera;  Sundew. 
P.  E. — Fresh  plant. 
N.  O. — Droseracese. 
N.  H. — United  States  and  Europe. 
Properties ;  Antispasmodic,  expectorant,  tonic. 
Indications :  Dryness  of  mucous    membrane    of    the 
respiratory  tract,  with  irritation  of  the  nervous  system. 


,M. \TKKIA    .MKDICA    AM)    THERAPEUTICS  83 

Spasmodic  cough  of  an  explosive  nature,  hoarse  cough 
without  secretion. 

Use :  Relieves  coughs  of  sympathetic  origin,  nervous 
coughs.  Our  best  remedy  for  cough  in  measles  and  fol- 
lowing measles.  Valuable  in  whooping  cough.  In 
chronic  coughs  of  dry,  irritating  nature,  especially  if 
there  is  irritation  of  the  central  nervous  system.  Of 
value  in  some  forms  of  gastric  disorder. 

Echinacea  Angustifolia : 

Syn. — Echinacea  ;  Black  Sampson  ;  Cone  Flower. 

P".  E.— Root. 

X.  (). — Composite. 

N.  H.— In  the  Western  states,  U.  S.  A. 

Properties  :  Alterative  :  antiseptic  ;  anti-syphilitic. 

Use :  The  remedy  in  all  depraved  conditions  of  the 
blood.  Has  an  alterative  and  restorative  effect  on  the 
tissues,  hastens  retrograde  metamorphosis  and  has 
marked  antiseptic  properties ;  therefore  its  range  of  use- 
fulness in  both  acute  and  chronic  affections  is  large.  We 
think  of  it  in  scrofula,  syphilis,  typhoid  fever,  puerperal 
fever,  diphtheria,  ursemic  poisons,  appendicitis,  cholera 
infantum,  cholera  morbus,  diarrhoea,  cerebral  spinal  men- 
ingitis, carbuncles,  septic  fevers,  boils,  tonsillitis,  small- 
pox, measles,  pneumonia,  and,  in  fact,  all  septic  and  de- 
praved conditions  of  the  blood  it  is  the  remedy,  and 
should  be  given  in  good  sized  doses  either  alone  or  with 
other  indicated  remedies.  In  ulcers,  ulcerated  sore 
throat,  catarrh,  nasal  catarrh,  inflammation  of  the  male 
and  female  urethra,  and  of  the  vagina,  in  eczema,  ery- 
sipelas, rims  tox  poisoning,  use  it  internally  and  locally. 
In  poisonous  bites  of  rattlesnakes,  tarantulas,  wasps,  etc., 
give  in  ]/±  to  l/2  teaspoonful  doses  every  y±  to  y2  hour, 
until  relieved  ;  then  in  smaller  doses  and  at  longer  inter- 
vals ;  it  should  also  be  applied  to  the  sore  pure  or  in 
25  to  50%  solution  according  to  the  severity  of  the  case. 
In  hemorrhoids  it  may  be  injected  in  the  tumor,  15  to 
20  drops,  repeated  if  necessary.  Of  value  in  gonorrhoea. 
Has  been  recommended  in  hydrophobia.  In  skin  dis- 
eases of  systemic  origin  echinacea  should  not  be  forgot- 
ten, both  locally  and  internally.  In  ulcers,  sores,  boils, 


84  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

etc.,  where  it  fails  to  cure,  the  cause  will  be  found  to  be 
a  deficiency  of  the  lime  salts,  such  as  calcium  phos.  2x, 
calcium  sulph.  ix,  or  in  some  cases  silica  3x,  and  if  such 
is  the  case  these  elements  should  be  supplied  and  the 
trouble  will  be  corrected.  As  echinacea  has  a  tendency 
to  correct  abnormalities  and  exerts  this  same  influence 
on  the  temperature  of  the  body,  it  is  a  valuable  remedy 
in  both  sthenic  and  asthenic  conditions  and  may  be  as- 
sociated or  alternated  in  these  cases  with  other  indicated 
remedies.  Used  with  some  of  our  special  sedatives  it  will 
to  some  degree  counteract  their  depressing  effect.  As  a 
wet  surgical  dressing  it  has  no  equal.  The  average  dose 
of  echinacea  is  from  5  to  10  drops  3  to  4  times  a  day ;  but 
in  severe  cases  and  poisoning  of  the  blood  by  poisonous 
bites,  etc.,  it  must  be  used  in  much  larger  doses  and  at 
short  intervals.  Locally  use  pure  or  in  25  to  50%  solu- 
tion. In  constitutional  syphilis  it  is  a  great  remedy  if 
associated  with  other  alteratives  such  as  berberis  aqua- 
folium  or  iris  versicolor.  In  septic  conditions  from  abor- 
tion or  in  puerperal  septicaemia  it  is  the  best  remedy  we 
have. 

Epigaea  Repens : 

Syn. — Epigsea  ;  Trailing  Arbutus. 

P.  E — Leaves. 

N.  O. — Ericaceae. 

N.  H.— United  States. 

Properties :  Astringent,  diuretic. 

Use :  A  good  remedy  in  cases  where  there  is  an  excess 
of  uric  acid.  In  extreme  and  nauseating  backache,  result 
of  the  crystalline  constituents  of  the  urine  not  being 
properly  dissolved  and  washed  out  of  the  tubules.  We 
think  of  it  when  the  urine  is  heavy  and  dark,  brick  dust 
sediment,  irritation  and  congestion  of  the  kidneys,  renal 
sand  and  gravel  in  bladder.  In  hemorrhage  or  cystitis, 
result  of  irritation  of  the  solids  in  the  bladder  it  is  an 
excellent  remedy.  Must  be  drunk  freely,  preferably  well 
diluted  in  hot  water.  Infusion  is  a  good  form  to  take  it 
in  ;  but  the  tincture  may  be  given  in  5  to  10  drop  doses 
in  ^2  a  cup  of  hot  wrater.  May  also  be  taken  in  cold 
water  when  desirable. 


M. \TKRIA    MEDJCA    AND   THERAPEUTICS  85 

Erigeron  Canadensis: 

Syn. — Fleahane  ;  Erigeron. 

P.  E.— Herb. 

N.  O. — Composite. 

N.  H. — United  States  and  Canada. 

Properties:  Astringent,  slightly  diuretic  and  tonic. 

Use ;  Erigeron  is  an  astringent ;  but  has  also  tonic 
effects  on  the  muscles  and  mucous  membrane.  It  is  a 
useful  remedy  in  hemorrhage  from  any  part  of  the  body, 
and  as  it  has  an  astringent  effect  on  the  capillary  vessels 
it  is  of  value  also  in  conditions  where  there  is  profuse 
mucous  discharge  of  a  chronic  nature  depending  on 
atony  and  relaxation.  We  think  of  it  in  hematemesis, 
hemoptysis,  hematuria,  epistaxis,  post  partum  hem- 
orrhage, uterine  hemorrhage  and  hemorrhage  of  the 
bowels  in  typhoid  fever.  In  many  cases,  especially  in 
uterine  hemorrhages  it  may  be  combined  to  advantage 
with  cinnamon.  In  chronic  diarrhoea,  chronic  dysentery, 
tympanitis,  flatulent  colic,  it  may  be  given  where  there 
is  a  condition  of  atony  and  relaxation ;  in  these  cases  it 
should  be  preceded  by  a  cathartic  to  empty  the  bowels. 
It  is  especially  valuable  in  all  passive  hemorrhages  in 
absence  of  marked  general  irritation  and  fever. 

Dose  of  the  oil  in  hemorrhages  is  from  5  to  10  drops, 
repeated  every  ^  to  I  hour  as  long  as  necessary.  Aver- 
age dose  of  oil  otherwise  is  i  to  3  drops  2  or  3  times  a 
day.  Dose  varies  according  to  condition.  In  hemorrhage 
TO  to  40  drops  of  the  tincture  diluted  may  be  given  and 
repeated  every  ^  to  I  hour  until  desired  effect  is  ob- 
tained. Average  dose  otherwise  is  from  3  to  10  drops  3 
or  4  times  a  day. 

Eriodictyon  Glutinosum : 

Syn. — Eriodictyon;  Yerba  Santa;  Mountain  Balm. 
'P.  E. — Leaves. 
N.  O. — Hydrophyllacese. 
N.  H.— California,  U.  S.  A. 

Properties :  Tonic,  expectorant,  astringent,  sedative, 
diaphoretic. 

Use :  A  valuable  remedy  in  diseases  of  the  respiratory 


86  MATERFA   MEDICA  AND  CLINICAL  THERAPEUTICS 

organs.  One  of  our  best  remedies  in  chronic  bronchitis, 
chronic  laryngitis,  and  chronic  gastric  catarrh.  Under 
its  influence  the  cough  will  gradually  leave,  expectoration 
becomes  less,  appetite  will  improve  and  health  is  re- 
stored. In  paralysis  of  the  bronchial  muscles  it  relieves 
the  congested  or  thickened  epithelium.  In  aphonia  of 
tubercular  nature  or  from  chronic  laryngitis  it  is  our 
best  remedy.  Our  best  restorative  remedy  for  the  respi- 
ratory organs.  We  also  think  of  it  in  hemorrhoids, 
coughs  and  colds,  asthma,  pneumonia,  and  in  kidney  and 
Rright's  disease.  Of  value  in  cystitis  and  chronic  de- 
rangement of  the  kidneys.  In  tuberculosis  of  the  lungs 
and  asthma  it  is  one  of  our  best  remedies.  Eriodictyon 
is  valuable  in  both  acute  and  chronic  diseases  of  the  res- 
piratory organs.  It  should  be  given  in  doses  of  2  to  8 
drops  every  2  to  3  hours;  or  eriodictyon  drachms  2  to  4, 
syrup  or  glycerine  4  ounces,  a  teaspoonful  every  2  to  4 
hours.  Where  a  stimulating  effect  is  needed  good  rock 
and  rye  may  be  used  as  a  menstrum  in  place  of  syrup  or 
glycerine,  and  will  often  be  found  better,  especially  in 
tuberculosis  of  the  lungs;  or  colds  where  stimulation  is 
indicated. 

Eryngium  Aquaticum : 

Syn. — Eryngium;  lUitton  Snake  I\oni  ;  Water  Kryngo. 

P.  E. — The  rhizome. 

N.  O.— UmbellifercT. 

N.  H.— United  States. 

Properties:  Diuretic,  diaphoretic,  expectorant,  in 
large  doses  emetic. 

Use:  Its  principal  use  is  in  irritability  of  the  urinary 
organs,  indicated  by  itching  and  burning  of  the  parts. 
Of  some  value  in  leucorrhcea,  dysmenorrhoea,  gonorrhoea, 
gleet  and  spermatorrhoea.  In  respiratory  troubles  with 
excessive  secretion  it  has  a  tonic  effect,  and  in  this  way 
lessens  secretion.  In  some  forms  of  gastro-intestinal  ir- 
ritation with  nausea,  tenderness,  and  a  red  tongue,  it  is 
of  value.  In  catarrhal  inflammation  of  the  upper  air  pas- 
sages, with  relaxed  condition,  it  is  of  value.  In  influenza 
it  is  said  to  be  a  good  remedy.  It  is  a  mild  tonic  to  the 


MATERIA    MEDICA    AND   THERAPEUTICS  87 

reproductive  organs  and    useful    in    nymphomania    an'.1 
satyriasis.    Of  much  value  in  urethritis  and  cystitis. 

Ether : 

Syn. — Sulphuric  ether. 

Properties :  Anaesthetic,  stimulant.  A  colorless  liquid 
containing  96%  ethyl  oxide  and  4%  alcohol,  with  a  little 
water  added.  Specific  gravity  0.725  to  .730.  Has  a  sweet- 
ish and  burning  taste  and  characteristic  odor.  Soluble  in 
water  10  parts;  but  mixes  well  with  alcohol,  chloroform 
and  oils.  It  should  be  used  and  handled  with  care,  be- 
cause its  vapor  if  mixed  with  the  air  is  very  explosive. 
As  ether  is  used  externally  and  for  inhalation  as  an  anaes- 
thetic it  is  not  necessary  to  refer  to  its  effects  if  taken  in- 
ternally. When  inhaled  ether  causes  an  increase  in  vol- 
ume and  frequency  of  pulse.  It  seems  to  depress  the 
respiratory  centers ;  but  irritates  the  respiratory  tract 
and  in  this  way  may  sustain  a  patient  longer  than  chlor- 
oform. At  first  it  excites,  face  becomes  flushed,  followed 
by  pallor  and  unconsciousness.  Though  safer  than  chlor- 
oform, on  account  of  its  slow  action,  irritation  of  respira- 
tory tract,  stomach  and  head  symptoms,  chloroform  is 
most  generally  used,  and  in  the  hands  of  a  careful  phy- 
sician its  dangers  are  not  so  great.  As  ether  reduces  the 
temperature  from  a  degree  to  even  3  or  4  degrees,  all 
means  should  be  employed  to  maintain  the  bodily  heat. 
No  food  should  be  taken  for  some  hours  before  ether  is 
used.  It  should  be  given  slowly  and  at  least  25%  air 
admitted  when  administered;  l/2  to  I  ounce  is  generally 
required  to  produce  the  desired  effect.  When  inhaled  it 
produces  a  burning  in  the  fauces  followed  by  exhilera- 
tion  and  a  roaring  sound  in  the  head.  In  the  ist  stage 
they  often  rage,  weep  or  laugh.  In  the  second  stage  there 
is  complete  loss  of  consciousness,  respiration  is  irregular 
and  its  effect  should  be  most  carefully  watched.  If  res- 
piration becomes  stertorous  there  is-  danger  that  the 
respiratory  muscles  become  paralyzed.  Shallow  and 
irregular  breathing  is  always  dangerous  and  the  ether 
should  be  discontinued  until  deeper  and  more  regular 
respiration  is  established.  Pale  and  livid  appearance  of 
the  face  will  tell  you  that  the  heart  is  failing  or  that  the 


88  MATERTA  MEDTCA  AND  CLINICAL  THERAPEUTICS 

respiratory  centers  are  becoming  paralyzed.  Death  re- 
sults from  the  latter.  This  is  shown  to  be  a  fact  by  the 
heart  continuing-  to  beat  for  some  time  after  respiration 
has  entirely  ceased.  It  is  often  given  with  chloroform 
with  good  results.  In  case  of  danger,  artificial  respira- 
tion, electricity  to  the  spine,  lowering  the  head,  dilating 
sphincter  ani  muscle,  etc.,  should  be  resorted  to.  Outside 
of  its  use  as  an  anaesthetic  we  think  of  it  in  obstetrical 
practice  where  there  is  a  feeling  of  fear  in  the  patient, 
with  great  nervous  excitement.  It  will  relax  a  rigid  os 
and  lessen  pain.  Ether  may  be  given  as  an  anaesthetic  in 
all  cases  where  it  is  considered  safest.  It  is  often  given 
with  chloroform  with  better  satisfaction  than  either  one 
alone.  In  general,  however,  the  careful  surgeon  prefers 
chloroform. 

Eucalyptus  Globulus : 

Syn. — Eucalyptus ;  Blue  Gum  Tree  of  Tasmania. 

P.  E. — Leaves  from  older  parts  of  tree. 

N.  O. — Myrtaceae. 

N.   H.— Australia. 

Properties :  Antimalarial,  antispasmodic,  tonic,  febri- 
fuge, antiseptic. 

Physiological  action  :  In  very  large  doses  it  increases 
the  activity  of  the  kidneys  greatly,  produces  pain  in  the 
gastrointestinal  tract,  indigestion  and  at  times  diarrhoea ; 
this  is  followed  by  drowsiness,  general  depression,  dimin- 
ution or  loss  of  power  of  the  lower  extremeties.  Skin 
becomes  pale,  cold  and  sometimes  clammy,  pupils  are 
contracted,  pulse  small  and  feeble,  respiration  becomes 
short,  interrupted  and  jerky,  and  in  a  few  cases  death 
has  resulted.  Its  poisonous  effects  may  be  counteracted 
with  belladonna,  mix  vomica  or  alcohol. 

Use :  In  malarial  conditions  it  may  be  given  where 
quinine  is  contra-indicated.  It  is  not  as  prompt  in  its 
action  as  the  latter,  but  more  permanent  in  its  effects. 
In  low  form  of  fevers,  scarlet  fever,  diphtheria,  phythisis 
pulmonalis,  chronic  ulceration  of  the  stomach,  catarrh 
in  any  part  of  the  body,  asthma,  nephritis,  etc.,  it  is  of 
great  value  if  used  with  other  indicated  remedies.  In  ul- 


MATERTA    MEDICA   AND   THERAPEUTICS  89 

ceration  of  the  cervix  of  the  uterus,  catarrh  of  the  uterus 
and  ovaries;  the  oil  should  be  applied  to  the  cervix  2  to 
5  times  a  week.  Castor  oil  should  be  used  as  a  menstrum : 
say  i  part  of  oil  of  eucalyptus  and  2  parts  of  castor  oil, 
in  this  way  the  medical  effects  will  remain  a  considerable 
length  of  time,  which  is  not  possible  with  any  other  men- 
strum. This  also  serves  a  good  purpose  in  cancer  of  the 
uterus  and  ovaries  as  well  as  the  breasts.  In  influenza, 
where  abdominal  symptoms  are  prominent  2  to  5  drops 
of  eucalyptus  oil  may  be  taken  before  dinner  and  supper 
for  a  few  days.  This  often  is  very  effective.  As  the  oil 
is  not  well  borne  by  the  stomach  and  its  action  on  the 
kidneys  too  pronounced  it  should  not  be  given  often. 
For  general  internal  use  the  specific  tincture  is  to  be 
given  only. 

Eupatorium  Purpureum : 

Syn. — Queen  of  the  Meadow;  Gravel  root;  Triu 
weed. 

P.  E.-Root. 

N.  O.— Composite, 

N.  H.— United  States. 

Properties :  Diuretic,  tonic,  astringent,  antilithic. 

Indications :  Frequent  desire  to  urinate  accompanied 
with  difficulty ;  pain  and  a  sense  of  obstruction.  .  Pain  in 
the  region  of  the  kidneys  extending  to  bladder  and  a 
scanty  and  high  colored  urine.  Shooting  pains  in  the 
urethra,  tenesmus;  constant  desire  to  urinate  in  pregnant 
women  attended  with  cough,  urine  passing  at  every  effort 
to  cough. 

Use :  Has  a  specific  action  on  the  kidneys.  It  in- 
creases amount  of  urine  and  solid  constituents ;  increases 
the  tone  and  activity  of  the  kidneys  and  is  a  valuable 
remedy  in  many  painful  affections  of  the  kidneys  and 
urinary  apparatus.  We  think  of  it  in  dropsy,  the  result 
of  lack  of  renal  activity ;  in  chronic  irritation  of  the  blad- 
der, irritation  of  the  bladder  during  pregnancy  ;  urinary 
calculi  and  albuminuria.  In  the  last  it  is  one  of  our  best 
remedies. 


9O  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Euphrasia  Off  icinalis : 

Syn. — Euphrasia ;  Eyebright. 

P.  E.— The  herb. 

N.  O. — Scrophulariacese. 

.N.  H. — North  America,  Europe. 

Properties :  Astringent,  tonic. 

Use :  This  remedy  is  useful  where  there  is  an  irrita- 
tion of  the  mucous  membrane  of  the  upper  respiratory 
tract,  when  accompanied  by  a  thin,  watery  discharge. 
Profuse  secretion  of  a  watery  nature  from  the  nose  and 
eyes.  We,  therefore,  think  of  it  in  acute  catarrhal  in- 
flammation of  the  mucous  membrane  of  the  upper  res- 
piratory tract  with  above  indications,  in  acute  coryza, 
coryza  of  measles.  In  snuffles  of  infants  5  to  10  drops  in 
4  ounces  of  water,  a  teaspoonful  given  every  l/2  to  2. 
hours  will  soon  give  relief.  It  has  a  marked  action  on  in- 
flammatory conditions  of  the  lachrymal  apparatus. 
Therefore  of  value  in  acute  inflammation  of  the  eyes; 
whether  catarrhal  or  rheumatic,  and  in  sore  eyes  from 
measles. 

Felix  Mas : 

Syn. — Aspidium  Felix  Mas;  Male  Fern. 

P.   E.— Plant. 

N.  O—  Filices. 
•  N.  H. — Europe  and  America. 

Properties :  Astringent,  anthelmintic,  tonic. 

Use:  To  remove  tape  worms.  I  Icing  a  powerful  irri- 
tant to  the  gastro-intestinal  tract  it  is  contra-indicated 
in  irritation  or  inflammation  of  this  tract.  It  should  be 
given  in  doses  of  30  to  60  drops  of  the  fluid  extract  y2 
hour  before  breakfast  and  before  retiring,  in  a  little  sugar 
water  or  thin  syrup.  This  to  be  continued  for  a  feu- 
days  or  even  longer.  The  diet  should  be  light.  Follow 
by  a  vegetable  or  saline  laxative.  Xo  oils  should  be  used 
as  they  favor  the  absorbtion  of  the  poisonous  elements 
of  the  drug. 

Ferrum : 

Syn. — Iron,  metallic  iron. 

Taken  internally  it  increases  the  ability  of  the  red 
blood  corpuscles  to  carry  oxygen.  Oxygen  absorbed  pro- 


MATERIA    MEDICA   AND   THERAPEUTICS  QI 

duces  ozone;  thus  iron  proves  to  be  a  nutriment  to  the 
red  blood  corpuscles.  It  is  absorbed  slowly  and  only 
in  very  small  quantities,  and  for  that  reason  should  only 
be  given  in  small  doses,  when  it  is  easily  absorbed  and 
far  less  irritating.  In  large  doses  it  will  color  feces  black. 
If  continued  for  some  time  in  large  doses  it  causes  gas- 
tric irritation.  If  it  should  cause  constipation  on  account 
of  its  astringent  qualities  a  mild  laxative  should  be  given 
with  it.  People  with  the  mental  or  motive  temperament 
will  require  iron  more  than  those  with  a  vital  tempera- 
ament.  Iron  is  not  eliminated  very  speedily  from  the 
system  if  given  in  small  doses,  but  retained.  In  anaemia, 
chlorosis  or  any  condition  where  the  red  blood  corpuscles 
are  deficient  in  hemoglobin  iron  is  indicated.  It  is  gen- 
erally well  to  give  with  other  indicated  tonics.  In  ple- 
thora and  inflammatory  conditions  iron  is  contra-indi- 
cated. As  different  conditions  will  require  iron  in  dif- 
ferent forms  the  various  preparations  that  are  mostly 
used  and  most  easily  assimilated  will  be  given  with  their 
indications  and  use.  Anything  containing  tannic  acid 
should  be  avoided  when  iron  is  taken.  As  tea  and  coffee 
contain  tannic  acid  they  should  not  be  taken  with  iron. 
If  they  are  used  at  meals  the  iron  should  be  given  at  least 
an  hour  or  more  after  meals  to  give  time  enough  for  the 
absorbtion  of  tannic  acid  they  contain,  especially  tea. 
(  Hherwise  the  tannic  acid  will  combine  with  the  iron  and 
form  insoluble  tannate  of  iron.  Iron  is  a  normal  con- 
stituent of  the  blood.  By  its  molecular  activity  in  the 
stomach  through  its  oxydation  it  sets  free  hydrogen.  The 
salts  in  small  doses  are  converted  into  chlorides  in  the 
stomach,  and  into  alkaline  albuminates  in  the  duodenum. 
In  large  doses  the  chlorides,  iodides,  nitrates  and  sul- 
phates are  poisonous  and  powerful  astringents.  The  rjer- 
salts  in  large  doses  are  powerful  irritants.  Locally  many 
irons  are  good  astringents  and  hamoestatics. 

Acid  Solution  of  Iron  (Howe's)  : 

Indications :  Pallid  mucous  membrane,  debility  and 
general  weakness,  anaemia,  alternate  pale  and  flushed 
skin,  poor  digestion.  As  it  does  not  disturb  digestion, 
but,  on  the  contrary,  improves  digestion,  it  is  our  best 


92  MATERIA  MEDlCA  AND  CLINICAL  THERAPEUTICS 

form  of  iron  when  not  contra-indicated.  In  anaemia  we 
use  it  with  the  happiest  results.  A  valuable  tonic  in  con- 
stitutional syphilis  if  alternated  with  other  antisyphilitic 
remedies.  It  may  be  given  2  to  3  drops  in  a  little  water ; 
or  in  orange  syrup :  Howe's  acid  sol.  of  iron  oi ;  syrup  of 
orange  §iv.  Sig :  i  teaspoonful  in  a  little  water  before 
meals. 

Ferri  Acetas : 

Indications :  We  think  of  it  in  conditions  where  there 
is  pallor,  blueness  of  tongue,  aversion  to  motion  in 
anaemia.  In  malarial  cachexia  with  above  indications  it 
is  of  value.  Should  not  be  given  to  patients  troubled  with 
gastric  catarrh. 

Ferri  Carbonas : 

Syn. — Carbonate  of  iron. 

Use :  A  non-irritating,  tasteless  preparation  of  iron 
having  great  restorative  power  in  debilitated  conditions. 
Its  action  on  the  stomach  is  stimulating  and  the  least 
astringent  of  iron  preparations.  It  will  improve  diges- 
tion. May  be  given  with  quinine  if  the  latter  is  indicated. 
In  atonic  conditions  it  may  be  combined  to  advantage 
with  mix  vomica,  xanthoxylum,  hydrastis  or  corydalis, 
using  such  as  are  indicated.  Of  value  in  some  forms  of 
pustular  eruption  of  the  skin,  crops  of  boils  if  not  the  re- 
sult of  deficiency  of  the  lime  salts,  silica  or  sulphur,  or 
taint  in  the  blood.  We  think  of  it  in  chorea,  anaemia, 
amenorrhoea  due  to  anaemia,  and  in  any  condition  where 
a  mild  non-irritating  iron  tonic  is  indicated.  Dose  for 
adults  is  about  l/2  to  2  grains  3  or  4  times  a  day. 

Ferri  Ferrocyanidum : 

Syn. — Prussian  blue ;  Ferrocyanide  of  iron. 

Properties :  Tonic  and  antiperiodic. 

Use :  In  pernicious  intermittent  malaria  and  neural- 
gia.    In  malarial  conditions  it  is  usually  given  with  qui- 
nine, sometimes  it  is  of  benefit  to  add  capsicum. 
Ferrum  Reductum : 

Syn. — Iron  by  hydrogen ;  Quevenne's  iron ;  Reduced 
iron. 


MATERIA    MEDICA    AND   Til  EKAI'KUTICS  93 

Use :  This  form  of  iron  has  a  gray  color  and  if  lighted 
with  a  match  should  take  fire  and  burn  with  a  red  glow. 
If  it  will  not  completely  ignite  it  is  of  no  value.  Insol- 
uble in  water  or  alcohol.  Being  finely  divided  it  is  a  non- 
irritating,  pure  iron  tonic  and  may  J3e  given  with  confi- 
dence to  children  where  other  preparations  of  iron  may 
be  objectionable.  Its  astringent  effect  is  hardly  worth 
mentioning,  being  so  slight.  Dose  for  adult  is  about  I 
to  3  grains  during  meals. 

Formaldehyde : 

Properties :  Germicide,  disinfectant,  antiseptic. 

Use :  The  40%  liquid  solution  is  the  commercial 
formaldehyde  used  in  medicine ;  also  known  by  the  name 
of  formalin  or  formal.  A  gaseous  body  produced  from 
methyl  alcohol  by  oxidation.  It  is  a  light  green,  almost 
white,  volatile  liquid.  Formaldehyde  gas  which  is  gen- 
erated by  special  apparatus  made  for  the  purpose,  is  our 
best  disinfectant.  It  is  far  superior  to  sulphur,  not  dis- 
coloring or  destroying  the  finest  fabrics,  books,  paintings 
or  woodwork.  It  will  not  cause  iron  or  steel  to  rust,  nor 
copper,  nickel  or  bronze  to  tarnish ;  therefore  it  is  a  good 
sterilizer  for  surgical  instruments.  With  a  proper  gen- 
erator such  as  can  be  bought  in  the  market,  the  gas  is 
the  best  form  for  disinfecting  rooms.  This  can  be  done 
by  passing  the  gas  through  a  tube  through  the  keyhole, 
and  after  sufficient  has  entered  the  room,  it  should  be 
kept  closed  for  some  time.  No  person  should  be  in  the 
room  at  the  time  of  disinfecting  nor  some  time  after,  as 
the  gas  is  dangerous  to  animal  life.  It  is  claimed  that 
it  will  cause  fleas,  mosquitoes,  moths,  etc.,  to  die  or  de- 
part if  possible.  Its  germicidal  properties  are  equally 
effective  whether  in  form  of  liquid  or  gas.  The  40% 
liquid  solution  is  too  irritating  to  the  tissues  of  the  body ; 
but  well  diluted  it  is  one  of  our  very  best  antiseptics.  Its 
power  to  effect  chemical  changes  in  albuminous  or  nitro- 
ginous  matter  makes  it  a  valuable  surface  disinfectant 
and  far  superior  to  other  germicidals.  As  it  combines 
readily  with  hydrogen  sulphide  and  the  volatile  com- 
pounds of  ammonia  it  is  a  valuable  deodorizer;  will  also 
remove  the  odors  of  decomposing  animal  and  vegetable 


,94  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

matter.  A  4%  solution  of  the  40%  liquid  solution  is  a 
very  good  application  in  gonorrhoea  of  the  female ;  to  be 
used  as  a  swab  on  cotton.  It  destroys  the  gonococci  and 
restores  the  parts  to  health.  Diluted  according  to  the  re- 
quirements of  the  case ;  it  is  used  with  success  in  diph- 
theria, whooping  cough,  open  and  infected  wounds,  ul- 
oers,  etc.  In  fact  it  is  a  valuable  wash  and  dressing. 
In  chancroid  apply  40%  solution  full  strength  and  it  will 
heal  promptly.  In  severe  cases  of  diphtheria  full  strength 
may  be  applied  to  the  membrane.  The  following  liquid 
solution  of  the  commercial  formaldehyde  as  used  in  med- 
icine may  serve  as  a  guide  to  its  use :  i  12500  destroys 
micro  organism  in  i  hour;  i  1500  useful  as  a  mouth  wash, 
to  irrigate,  clean  catheters,  etc. ;  i  1250  useful  as  a  spray 
in  sick  rooms,  as  a  deodorant,  for  cleaning  hands,  instru- 
ments, etc. ;  i  :ioo  may  be  used  in  skin  diseases;  i  :5o  will 
sterilize  catgut,  silk,  etc.,  but  a  weaker  solution  may  be 
used,  in  which  case  they  must  remain  longer.  Infected 
wounds,  carbuncles,  etc.,  a  2%  solution  is  useful.  A  i% 
solution  may  be  inhaled  or  used  as  a  spray  in  whooping 
cough  and  hay  fevers.  In  suppuration  a  25%  solution  is 
the  best  proportion.  In  packing  and  drainage  of  sinuses, 
pus  cavities,  abscesses,  etc.,  it  is  superior  to  any  otlu'r 
antiseptic.  It  answers  the  purpose  of  iodoform  and  is  n 
thousand  times  better;  does  not  poison  the  system  and 
certainly  the  odor  is  by  far  more  to  be  preferred  than  that 
of  iodoform,  which  should  be  entirely  dispensed  with  in 
surgery.  The  solutions  recommended  are  as  a  rule  by 
far  too  strong.  A  4%  solution  answering  in  most  all 
cases  of  antiseptic  surgery,  drainage,  packing,  etc.  If 
too  strong  it  will  harden  tissue  and  this  is  to  be  avoided 
unless  undesirable  or  dead  tissue  is  to  be  removed.  Moist 
inhalations  are  of  great  value  in  tuberculosis  of  the  lungs. 
Applied  to  corns,  after  hard  epidermis  is  removed  by 
salicylic  acid  and  warm  foot  baths,  it  will  dry  them  up. 
It  may  be  applied  to  cancers  to  great  advantage,  serving 
both  as  a  deodorizer,  destroyer  of  cancer  cells  and  general 
antiseptic.  Should  be  applied  under  oiled  silk.  As  uter- 
ine or  vaginal  douches  the  4%  solution  or  milder  is  very 
good  treatment  in  inflammation  of  these  parts  and  in 
septic  conditions.  Formaldehyde  should  not  be  mixed 


MATERTA    MEDICA   AND   THERAPEUTICS  95 

with  glycerine  as  it  impairs  its  value  and  "is  less  harmless 
as  a  disinfectant.  In  this  combination  if  used  to  fumigate 
it  will  injure  fabric  which  it  otherwise  will  not  do.  Where 
the  physician  is  unable  to  have  a  generator  for  fumigation 
or  disinfecting,  formalin  lamps  can  be  used ;  these  are 
reasonable  in  price  and  answer  the  purpose  well.  The 
fluid  diluted  is  a  good  disinfectant  but  not  as  powerful 
or  penetrating  as  the  gas  produced  by  generators. 

Gelsemium  Sempervirens : 

Syn. — Gelsemium  ;  Yellow  Jasmine. 
P.  E. — Green  root. 
N.  O. — Loganiaceae. 
N.  H.— Southern  States,  U.  S.  A. 

Properties :  Sedative,  febrifuge,  antispasmodic,  nar- 
cotic. 

Physiological  action  :  In  large  doses  it  causes  droop- 
ing of  the  eyelids;  this  is  the  first  manifestation  of  its 
physiological  action,  being  caused  by  paralysis  of  the 
levator  palpsebrae  superioris.  This  is  followed  by  ver- 
tigo, staggering  gait,  double  vision,  drooping  of  the  lower 
jaw,  dilated  pupils;  heart's  action  becomes  feeble,  tem- 
perature lowered,  breathing  difficult,  pulse  weak  and  in- 
termittent and  death  results  from  paralysis  of  the  res- 
piratory muscles  and  those  of  the  diaphragm  ;  conscious- 
ness remaining  until  carbon  dioxide  narcosis  sets  in.  Its 
influence  seems  to  be  on  the  base  of  the  brain,  spianal  cord 
and  the  splanchnic  nerves.  In  large  doses  it  paralyzes 
both  motor  and  sensory  nerves;  the  effect  on  the  latter 
appearing  later.  Relaxes  sphincters  by  inhibiting  the 
nerve  force  of  the  visceral  organs.  In  medicinal  doses 
it  prevents  the  determination  of  blood  to  the  head  and 
brain.  For  this  reason  it  is  indicated  where  there  is 
flushed  face,  contracted  pupils,  restlessness  and  exalted 
nerve  force.  Gelsemium  is  a  vaso-motor  depressant.  It 
is  readily  eliminated  from  the  system. 

Indications :  In  nervous  and  arterial  tension  and  ex- 
altation of  both  motor  and  sensory  functions ;  indicated 
by  nervous  phenomena,  such  as  excitability,  flushed  face, 


96  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

bright  eyes,  contracted  pupils,  rapid,  full,  vibratile  pulse, 
nervous  twitching,  showing  determination  of  blood  to 
the  brain.  It  removes  high  nerve  and  arterial  tension 
by  suppressing  excessive  activity  of  the  nerve  centers. 

Use :  In  fevers  it  has  a  direct  action  on  the  cerebro- 
spinal  centers,  slows  the  heart's  action,  reduces  tem- 
perature and  quiets  respiration ;  in  fact  is  a  relaxant. 
We  think  of  it  in  spinal  and  cerebral  inflammation,  neu- 
ralgia, in  reflex  and  spasmodic  coughs  and  whooping 
cough.  In  influenza,  hay  fever,  rhinitis,  intercostal  neu- 
ralgia ;  otitis  media,  acute  nephritis,  spasmodic  stricture, 
dysmenorrhcea  ovarian  neuralgia ;  in  after  pains,  puer- 
peral fever  and  convulsions,  chorea,  spasms  and  convul- 
sions. Gelsemium  acts  on  the  kidneys,  is  readily  elim- 
inated, and  must  therefore  be  given  often  to  be  effective. 
Of  value  in  some  forms  of  hysteria.  We  find  it  indi- 
cated very  often  where  there  is  sharp  pain  in  the  back 
and  loins;  also  in  arterial  throbbing  in  which  pulsation 
is  distinct  and  painful ;  pain  sharp  and  restless,  exalted 
sensibility.  Although  the  general  dose  of  gelsemium  is 
about  x  to  xxx  drops  in  4  ounces  of  water,  teaspoonful 
every  I  to  3  hours,  in  cases  where  there  is  a  marked  in- 
dication for  it,  and  in  emergencies  we  have  to  use  much 
larger  doses.  In  otitis  media  to  abort  rupture  of  the 
ear  drum,  as  much  as  5  to  TO  drops  may  be  given  every 
hour  until  relieved,  then  in  smaller  doses  at  longer  in- 
tervals. In  this  condition  it  is  well  to  associate  bryonia 
with  it  and  also  large  doses  of  echinacea.  These  reme- 
dies may  be  alternated  to  advantage  with  kali  mur  3x. 
In  spasms  and  convulsions  as  much  as  l/\  to  y2  drachm 
may  be  given  as  a  dose  to  relax ;  that  is,  if  there  are 
marked  indications  for  the  remedy.  In  all  these  emer- 
gencies the  action  should  be  carefully  watched  so  as  not 
to  carry  it  to  the  danger  point.  In  puerperal  fever  and 
convulsions  and  chorea  it  may  also  be  given  in  large 
doses  if  indicated.  In  many  inflammatory  conditions  it 
is  well  to  combine  it  with  large  doses  of  echinacea,  as  in 
this  way  it  will  make  its  action  more  effective  and  less 
depressing;  this  will  also  prevent  exudation  and  if  exu- 
dation has  taken  place  it  favors  absorbtion. 


MATKKIA     MEDIC  A    AND    THERAPEUTICS  97 

Geranium  Maculatum: 

Syn. — Geranium  ;  Cranesbill. 

P.  E. — Rhizome. 

N.  O. — Geraniaceae. 

N.  H. — United  States  and  Europe. 

Properties :  Tonic,  astringent,  alterative. 

Indications :  Relaxed  enfeebled  mucous  membrane, 
without  inflammation.  Excessive  discharge  of  mucus 
or  blood  in  above  conditions. 

Use :  In  chronic  or  sub-acute  diarrhoea,  catarrhal  gas- 
tritis, mild  form  of  passive  hemorrhage,  hematuria  when 
indicated.  In  phthisis  pulmonalis  it  will  retard  symptoms 
to  a  marked  degree  and  is  of  value  in  night  sweats.  Dose 
from  5  to  15  drops  every  2  to  4  hours.  Should  not  be 
given  in  active  inflammation.  Nasal  polypus  injected 
with  tincture  will  dry  up  and  soon  fall  off. 

Glonoine : 

The  alcoholic  solution  of  nitro-glycerine  is  the  pre- 
paration used  in  medicine  and  is  termed  glonoine  or 
spirit  of  glonoine.  It  is  made  by  combining  I  part  of 
nitro-glycerine  with  99  parts  of  alcohol ;  this  is  the  one 
per  cent  solution  generally  used.  It  should  be  handled 
with  care,  kept  in  a  cool  place  and  care  taken  that  the 
alcohol  will  not  evaporate  as  there  is  danger  of  explosion. 

Physiological  action :  A  few  drops  will  often  cause 
cerebral  engorgement,  face  becomes  very  flushed,  fol- 
lowed by  severe  headache.  As  it  is  a  very  powerful  brain 
stimulant  in  moderate  doses,  causing  cerebral  hyperaemia, 
fullness  and  a  feeling  of  pressure  and  even  pain  in  the 
head,  it  must  be  used  with  care.  It  will  also  stimulate 
the  heart,  produce  nausea  if  a  large  dose  is  taken. 

Use:  In  the  i%  solution  in  moderate  doses  we  get 
the  physical  effect.  Therefore  indicated  where  a  power- 
ful brain  or  heart  stimulant  is  needed  as  in  cerebral 
anaemia  that  comes  on  suddenly,  anaemic  headache,  sun- 
stroke, neuralgia  of  the  heart,  angina  pectoris,  asthma, 
post  partum  hemorrhages,  palpitation  of  the  heart,  in 
fact  any  condition  where  there  is  marked  anaemic  condi- 
tion of  the  brain  and  a  heart  stimulant  is  needed  tern- 


98  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

porarily.  Small  doses  act  better  if  it  has  to  be  persisted 
in  for  some  time.  In  emergencies  it  is  our  best  remedy 
if  indicated.  We  also  think  of  it  in  fainting  spells,  slug- 
gish heart's  action  with  pale  appearance  of  the  patient, 
skin  perhaps  cool.  If  we  want  its  sedative  or  primary 
effect  small  doses  of  the  3rd  to  6th  dilution  should  be 
used.  In  these  doses  it  will  be  found  to  be  indicated 
where  there  is  flushed  appearance,  determination  of 
blood  to  the  head  and  headache  resulting  from  same. 
The  general  indications  of  glonoine  in  physical  doses 
also  apply  to  nitro-glycerine. 

Glycerinum : 

Syn. — Glycerine. 

Glycerine  is  a  colorless  liquid  now  generally  obtained 
from  decomposition  of  tallow.  It  is  odorless  and  has  a 
neutral  reaction.  Abstracts  moisture  from  the  air.  Spe- 
cific gravity  is  1.25.  It  will  dissolve  in  water  and  alco- 
hol and  to  some  extent  in  chloroform,  but  not  in  ether. 
In  density  it  is  about  like  syrup,  has  a  sweetish  taste  and 
it  feels  oily  to  the  touch.  If  heated  much  it  will  decom- 
pose, giving  off  irritating  fumes.  Glycerine  has  remark- 
able solvent  power,  dissolving  alkalies,  vegetable  acids 
and  neutral  salts.  Will  dissolve  iodine,  bromine,  tan- 
nates,  chlorine,  tannin  and  many  of  their  compounds. 
Heated  with  strong  nitric  acid  one  of  our  most  powerful 
explosives,  "nitro-glycerine"  results.  Glycerine  is  a  sol- 
vent of  pepsin,  and  if  taken  internally  will  abstract  this  di- 
gest from  the  mucous  membrane  of  the  stomach.  As  it  an- 
tagonizes decomposition  it  is  of  some  value  as  an  antisep- 
tic although  only  in  a  mild  degree.  When  taken  internally 
it  produces  a  feeling  of  warmth  or  heat  and  in  large  doses 
may  produce  irritation  and  symptoms  similar  to  alcoholic 
poisoning.  Increases  the  quantity  of  urine  and  colors  it 
dark.  Glycerine  is  readily  eliminated  by  the  kidneys. 
On  account  of  its  power  of  abstracting  water  from  tis- 
sues it  is  of  great  value  in  all  conditions  either  local  or 
internal  where  there  is  a  demand  for  an  action  of  this 
kind.  On  this  account  it  is  of  value  in  constipation  as 
it  will  act  as  a  hydrogogue  cathartic  if  given  internally 
or  per  rectum.  In  congestion  of  the  uterus  or  in  subin- 


MATEK1A    MKDICA    AND    THERAPEUTICS  99 

volution  of  this  organ  where  we  wish  to  draw  the 
watery  secretion  from  the  parts  it  is  of  value.  In  some 
cases  of  acidity  of  the  stomach  it  is  useful.  Locally  we 
think  of  it  in  chapped  hands  and  conditions  of  similar 
nature. 

Gossypium  Herbaceum: 

Syn. — Gossypium  ;  Cotton. 

P.  E.— The  bark  of  the  fresh  root. 

N.  O.— Malvaceae. 

N.  H. — United  States,  Europe. 

Properties :  Emmenagogue,  in  large  doses  a  parturi- 
ent. 

Use :  As  an  emmenagogue  and  parturient.  Indicated 
as  an  emmenagogue  where  there  is  backache,  with  a 
sense  of  dragging  in  the  pelvis;  a  feeling  of  fullness  and 
weight  in  the  bladder,  accompanied  with  difficult  mictur- 
tion.  In  suppression  of  menses  from  any  cause.  Iri  hys- 
teria of  females  it  is  of  some  value.  As  a  parturient  it 
is  one  of  our  best  remedies,  producing  firm,  regular  and 
strong  uterine  contraction.  In  uterine  inertia  it  will  in- 
crease expulsive  power  and  prevent  danger  of  postpar- 
tum  hemorrhage.  May  be  successfully  combined  with 
cimicifuga  and  caulophyllum.  Also  useful  to  control 
hemorrhage  of  cancer  and  uterine  fibroids.  No  danger 
of  gangrene  from  it  as  from  ergot.  As  a  parturient  it  is 
much  safer  than  ergot,  as  it  brings  on  regular  intermit- 
tent contraction,  while  ergot  produces  tonic  contraction. 

Grindelia  Robusta: 

Syn. — Wild  Sun  Flower;  Yellow  Tar  Weed;-  Gum 
Plant. 

P.  E. — Leaves  and  flower. 

N.  O. — Composite. 

N.  H.— Pacific  Coast,  United  States. 

Properties :  Antispasmodic,  expectorant. 

Physiological  action :  It  is  not  very  toxic,  but  in  very 
large  doses  the  following  has  been  observed,  viz. :  Sen- 
sibility is  at  first  diminished  then  destroyed ;  the  periph- 
eral nerves  first  affected,  then  the  trunk  of  the  nerves 
and  then  the  motor  centers  in  the  spinal  cord.  Mobility 
is  affected  in  the  same  order,  paralysis  beginning  in  the 


100  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

nerve  terminals,  then  motor  nerve  trunks  and  finally 
motor  centers  of  the  cord.  It  stimulates  the  cardiac  in- 
hibitory centers  and  thus  slows  the  heart's  action.  Stim- 
ulating the  vaso-motor  centers  blood  pressure  is  raised. 
Respiration  is  increased  in  frequency  by  its  stimulating 
effect  on  the  respiratory  centers  and  terminals  of  the 
pneumogastric  in  the  lungs.  There  is  an  increase  in  the 
secretion  of  urine.  Then  in  cases  that  terminate  fatally 
respiration  becomes  slower,  jerky,  and  death  results  from 
arrest  of  respiration,  the  heart's  action  continuing  for 
some  time.  Cerebral  effects  are  quite  pronounced  a  con- 
dition of  narcosis  ensues  of  more  or  less  severity  accord- 
ing to  amount  of  drug  taken.  This  cerebral,  cardiac  and 
renal  action  may  suggest  its  use  in  many  conditions.  In 
small  doses  it  constricts.  In  moderate  doses  it  first 
causes  contraction,  then  dilatation,  while  in  very  large 
doses  it  dilates  arteries  at  once.  Moderate  doses  decrease 
excitability  of  muscles  and  the  nerves.  It  is  never  given 
in  such  large  doses  as  to  cause  marked  toxic  effects. 

Use :  In  full  and  frequent  doses  it  is  an  excellent  rem- 
edy in  asthmatic  breathing,  producing  expectoration,  and 
its  continued  use  in  smaller  doses  will  remove  the  entire 
train  of  symptoms.  May  be  combined  with  other  indi- 
cated remedies  such  as  lobelia,  yerba  santa  or  stramon- 
ium to  advantage.  Its  influence  on  asthmatic  breathing 
is  more  permanent  than  any  other  agent.  It  is  not  indi- 
cated in  spasmodic  asthma  with  complete  relief  between 
the  attacks.  Applied  locally  and  used  internally  it  is 
a  fine  remedy  in  rhus  tox  poisoning.  Locally  applied  to 
old,  indolent  ulcers  it  gives  good  results.  We  also  think 
of  it  in  acute  or  chronic  bronchitis,  chronic  bronchial 
cough  of  spasmodic  nature,  asthmatic  breathing,  irregu- 
lar heart's  action  if  accompanying  chronic  coughs,  pneu- 
monia and  chronic  coughs,  that  often  follow  pneumonia. 
In  vaginitis  it  is  of  value  if  applied  locally. 

Grindelia  Squarrosa : 

Syn. — Ague  weed. 
P.  E.— Fresh  herb. 
N.  O. — Composite. 
N.  H.— Western  States,  U.  S.  A.,  Mexico. 


MATERIA    MEDTCA    AND   THERAPEUTICS  IOI 

Properties :  Expectorant,  antispasmodic,  nerve  seda- 
tive. 

Physiological  action :  In  continued  physiological 
doses  it  will  produce  an  almost  unbearable  fullness  in 
the  head,  followed  by  pain  in  the  left  eyeball  and  later 
also  of  the  right  eyeball.  Pain  in  the  knee  joint,  pain  in 
the  whole  region  of  the  liver  and  spleen,  which  becomes 
more  severe.  All  are  of  the  nature  of  acute  rheumatism. 
To  move  the  eyeballs  is  terribly  painful  and  the  pain  ap- 
pears to  reflect  backwards  into  the  brain.  Later  inter- 
ruption of  respiration  takes  place,  so  that  it  can  some- 
times onlv  be  carried  on  by  will  power.  This  will  show 
that  its  influence  is  on  the  nervous  system  in  such  a  man- 
ner as  to  affect  the  optic  nerve  first  and  lastly  the  par 
vagum,  thus  interrupting  respiration.  The  drug,  how- 
ever, is  never  given  in  such  large  doses  and  therefore  is 
a  safe  remedy  to  use ;  but  if  it  is  taken  in  ^  to  I  drachm 
doses*  often  repeated  its  physiological  effect  will  be  no- 
ticed as  above. 

Indications :  A  pale,  puffy  appearance  of  tissue,  pain 
in  the  right  or  left  hypochondriac  region,  enlarged  spleen 
or  liver,  chills  and  fever,  pain  in  the  eyes,  dull  pain  in  the 
head,  determination  of  the  blood  to  the  head,  in  fact  any 
of  these  conditions  if  caused  by  malarial  poison. 

Use :  It  is  the  remedy  for  chronic  or  old  cases  of 
malaria,  malarial  cachaxia,  spleenic  hyperthrophy,  stom- 
ach troubles,  neuralgia,  irritable  coughs  with  nervous 
erethism,  the  result  of  malaria.  It  must  be  continued  for 
some  time  to  affect  a  cure.  In  sore  and  painful  eyes,  pain 
worse  on  movement  from  cold,  it  is  of  value.  Locally  in 
skin  disease  it  may  be  used  with  glycerine. 

Hamamelis  Virginica : 

Syn. — Hamamelis  ;  Witch  Hazel. 
P.  E. — Leaves  and  bark. 
N.  O. — Hamamelacese. 
N.  H.— United  States, 

Properties :  Soothing,  astringent  and  tonic. 
Use :  Taken   internally   it   is   a   positive  tonic  to  the 
walls  of  the  veins,  stimulating  and  strengthening  their 


IO2  MATER1A  MEDIC  A  AND  CLINICAL  THERAPEUTICS 

muscular  coats.  We  therefore  think  of  it  in  passive 
hemorrhages,  in  venous  stasis,  varicose  conditions  of 
the  veins,  especially  in  the  lower  extremities.  In  venous 
hemorrhoids,  congestion  and  fullness  of  the  ovaries  and 
testicles,  due  to  venous  engorgement.  On  account  of  its 
soothing,  healing  and  astringent  qualities  we  think  of 
it  locally  in  leucorrhcea,  catarrh  of  the  uterus,  burns, 
scalds,  bruises,  sore  throat  with  relaxed  mucous  mem- 
brane. In  lameness  and  soreness  after  labor  or  from 
muscular  exertion  it  is  of  great  value  if  applied  to  the 
abdomen  hot.  In  soreness  from  violent  muscular  exer- 
cise, strains,  bruises  .and  exposure  to  cold  it  is  of  value. 
Also  in  sore  throat  locally  where  there  is  relaxed  condi- 
tion of  mucous  membrane  and  dark  blue  color,  showing 
venous  stasis.  In  inflammatory  rheumatism  it  is  of  value 
if  combined  or  alternated  with  other  indicated  remedies. 
It  appears  to  act  as  a  sedative. 

Helonias  Dioica : 

Syn. — Helonias ;  Starwort. 

P.  E.— Root. 

N.  O. — Liliacese. 

N.  H.— United  States. 

Properties :  Tonic,  diuretic,  in  large  doses  emetic. 

Indications :  A  bearing  down  sensation  throughout 
the  floor  of  the  pelvis;  a  feeling  as  if  parts  were  about 
to  fall  out,  consequently  a  tendency  to  hold  up  or  sup- 
port the  extreme  lower  abdomen  and  its  contents. 

Use:  In  relaxed  condition  of  the  reproductive  organs, 
especially  of  females,  improving  their  functions  and  nu- 
trition. /\  good  blood  maker  and  tonic  to  digestive  ap- 
paratus. In  cystic  troubles  in  the  male  it  is  a  good  rem- 
edy if  indicated.  Also  acts  favorably  in  liver  troubles 
where  there  is  deficient  or  perverted  action ;  but  its  action 
in  this  direction  is  only  mild.  Helonias  is  a  general  tonic 
to  the  genito-urinary  organs.  Valuable  in  phosphatic 
diathesis.  In  albuminuria  where  the  liver  is  at  fault  it 
is  highly  recommended.  Helonias  should  be  associated 
with  such  other  remedies  as  are  indicated. 


MATERTA    MEDICA    AND-    THERAPEUTICS  103 

Hydrangea  Arborescens : 

Syn. — Hydrangea  ;  Seven  Barks. 

P.  E.— Root. 

N.  O. — Saxifragaceae. 

N.  H.— United  States. 

Properties:  Tonic,  diuretic,  cathartic. 

Indications:  Frequent  urination,  accompanied  by  a 
sense  of  burning  and  sharp,  quick  pain  in  the  urethra. 
Pain  from  the  irritation  of  passing  renal  sand.  Aching 
in  the  back  with  irritation  and  partial  suppression  of 
urine. 

Use:  It  is  a  mild  but  permanent  tonic  to  the  mucous 
structure  of  the  genito-urinary  apparatus.  Corrects  the 
tendency  to  formation  of  calculi.  We  think  of  it  in 
lithaemia,  acute  nephritis  and  irritation  of  the  urinary 
apparatus,  especially  of  an  acute  nature.  It  appears  to 
have  a  favorable  action  in  preventing  the  formation  of 
calculi,  and  if  formed  relieves  the  pain  when  passing. 
In  irritation  from  presence  of  uric  acid  and  phosphoric 
crystals  it  is  of  value. 

Hydrargyrum : 

Syn. — Mercury;  Quicksilver. 

Mercury  is  of  a  silver  white  color,  freezes  at  —  40  de- 
grees Fahrenheit  and  boils  at  680  degrees.  It  is  a  liquid 
metal  and  forms  amalgams  with  various  metals,  iron  ex- 
cepted.  For  extracting  gold  and  silver  from  ores  it  is 
quite  extensively  used.  The  backs  of  mirrors  are  coated 
with  its  amalgam  with  tin.  Mercury  is  used  in  medicine 
in  various  forms,  but  the  writer  does  not  favor  its  use.. 
When  we  take  into  consideration  what  harm  is  done  by 
the  frequent  administration  of  mercury  in  its  various 
forms  a  word  of  warning  is  not  out  of  place.  The  writer 
never  prescribes  it  and  finds  that  we  have  other  rem- 
edies that  act  more  pleasantly  and  are  less  harmful. 
Calomel  is  the  form  of  mercury  most  generally  pre- 
scribed. To  those  who  insist  on  using  it,  will  say  that 
if  used  at  all  it  should  only  be  given  in  very  small 
doses  and  in  the  following  conditions  only :  If  the  tongue 
is  broad  and  flabby,  with  a  thick  coat,  in  so-called  bil- 


IO4  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

ious  conditions,  it  is  admissible ;  but  only  until  this  heavy 
coating  is  relieved.  When  the  mucous  lining  of  the  di- 
gestive tract  is  thickly  coated  with  mucus,  preventing 
proper  secretion  of  the  digestive  juices  it  may  be  used. 
Calomel  is  a  powerful  mucous  membrane  solvent  and 
we  can  thus  understand  why  it  may  be  used  in  above 
conditions  only.  It  should  be  associated  with  other 
remedies  to  cause  rapid  elimination.  If  given  where  mu- 
cous membrane  is  thin,  sensitive,  irritated  or  inflamed 
it  is  very  harmful.  The  abusive  use  of  calomel  is  the 
cause  of  many  conditions  of  the  system,  among  others, 
salivation,  appendicitis,  etc.  As  the  reader  will  come  in 
contact  with  many  of  these  troubles  the  physiological 
action  is  given  below. 

Physiological  action :  Given  for  a  long  time  it  will 
produce  hydrargyrism.  Although  inert  in  itself,  when 
combined  with  the  fluids  of  the  body,  as  oxyalbuminate 
of  mercury  it  is  easily  absorbed  and  enters  all  parts  of 
the  body.  In  the  stomach  it  is  converted  into  double 
chloride  of  sodium  and  mercury,  which  is  soluble  in  ex- 
cess of  albumen  or  sodium  chloride  which  naturally  ex- 
ists in  solution.  It  is  therefore  easily  absorbed  and 
decomposed,  changing  into  oxyalbuminate  of  mercury. 
Its  purgative  affect  is  due  to  irritation  of  the  duodenum, 
part  of  it  only  being  absorbed,  the  rest  passing  off  as 
sulphide  with  the  feces.  It  diminishes  the  red  blood 
corpuscles,  is  destructive  to  mucous  tissue  and  will  dis- 
turb digestion.  Through  the  tissues  it  enters  the  blood 
and  will  cause  softening  and  destruction  of  bones,  if 
continued  for  any  length  of  time.  It  stimulates  the  saliv- 
ary and  pancreatic  glands  and  will  be  found,  when  taken 
internally,  in  all  the  secretions  of  the  body.  In  small 
doses,  if  taken  for  some  time,  it  will  cause  tender  and 
spongy  gums,  metallic  taste,  will  loosen  and  destroy 
teeth  and  cause  bleeding  of  the  gums,  increase  of  flow 
of  saliva  which  finally  results  in  salivation  and  destruc- 
tion of  the  teeth.  The  more  severe  poisoning  symptoms 
are  swollen  and  spongy  gums,  with  bluish  margins,  loos- 
ened and  sore  teeth,  stomatitis,  fetid  breath,  marked  sal- 
ivation, metallic  taste  in  the  mouth,  loss  of  appetite,  ul- 
ceration  of  the  mouth.  This  continued  will  result  in 


MATERIA     MEDICA     AND     THERAPEUTICS  IO5 

marked  general  and  nervous  disturbance,  necrosis  of  the 
bones,  pustular  eruptions,  emaciation,  pallor,  headache, 
neuralgia,  muscular  tremors,  paresis  of  the  extremities,- 
coma  and  convulsions.  Paralysis  agitans,  chorea  and 
even  locomotor  ataxia  have  resulted  from  its  use.  A 
large  or  full  dose  may  cause  a  form  of  coryza,  conjuncti- 
vitis, nose  bleed  and  purulent  discharge  from  the  nose. 
Inhaled  it  will  produce  the  same  symptoms  as  if  taken 
internally.  Bichloride  of  mercury  is  a  violent  poison, 
causing  severe  gastro-intestinal  irritation,  vomiting, 
purging  of  mucus  and  blood,  inflammation  and  ulcera- 
tion  of  the  rectum,  collapse  and  death  speedily  result, 
which  may  be  preceded  by  convulsions.  Calomel  (sub- 
chloride)  is  less  irritating,  acts  more  on  the  upper  intes- 
tines. This  is  decomposed  by  alkaline  secretions  of  the 
intestines  forming  oxide  of  mercury.  If  alkaline  chlor- 
ides are  present  it  is  changed  into  bichloride  in  small 
quantity. 

Hydrastis  Canadensis : 

Syn. — Hydrastis ;  Golden  Seal ;  Yellow  Puccoon. 

P,  E.— Root. 

N.  O. — Ranunculacese. 

N.  H.— United  States. 

Properties :  Tonic,  alterative,  laxative. 

Physiological  action :  It  has  stimulating  properties, 
influencing  the  nervous  system,  similar  to  mix  vomica. 
However,  its  action  is  much  slower  but  more  permanent 
in  its  results.  In  very  large  doses  it  may  cause  anaesthe- 
sia of  the  skin,  showing  its  powerful  action  on  the  per- 
ipheral nerves  and  circulation.  Convulsions  have  been 
known  to  result  from  excessively  large  doses. 

Use :  Its  influence  is  on  the  nervous  system  and  it  is 
indicated  in  general  relaxed  condition  of  the  system  and 
mucous  membrane.  Therefore  of  value  in  chronic  or 
subacute  catarrhal  conditions  of  the  mucous  membranes 
when  they  are  relaxed,  showing  atony.  However,  its 
widest  range  is  in  functional  disorders  of  the  stomach. 
Atonic  conditions  of  the  digestive  organs,  catarrhal  gas- 
tritis, atonic  dyspepsia,  hepatic  congestion,  catarrh  of 
the  gall  ducts,  prostrating  night  sweats.  In  uterine 


IO6  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

subinvolution  which  has  menorrhagia  or  metrorrhagia 
as  a  result.  In  ulcers  of  the  stomach  it  is  a  valuable  rem- 
edy. Hydrastis  stimulates  the  removal  of  excess  of  in- 
tra-uterine  fibrous  growths  and  is  therefore  of  use  in 
fibrous  tumors.  Of  value  in  cancers  locally  and  inter- 
nally. In  gonorrhoeal  leucorrhoea  it  is  a  good  local  rem- 
edy used  in  a  douche.  It  stimulates  circulation,  respira- 
tion, imparts  tone  to  the  muscular  structure  of  the  heart 
and  increases  arterial  tension.  Increases  capillary  blood 
pressure,  increases  peristalsis  and  gives  tone  to  the  gas- 
tro-intestinal  tract. 

Hyoscyamus  Niger; 

Syn. — Hyoscyamus  ;  Henbane. 

P.  E. — Leaves  and  seeds. 

N.  O. — Solanaceae. 

N.  H. — Europe,  Asia. 

Properties :     Anodyne,  antispasmodic. 

Physiological  action :  In  large  doses  it  causes  dry 
throat,  dilated  pupils,  vision  becomes  impaired,  head- 
ache, thirst,  nausea  and  vomiting,  hallucinations,  weak- 
ness of  lower  extremities,  spasms,  rapid  and  intermit- 
tent pulse,  cramps,  paralysis,  delirium  and  even  death, 
resulting  from  paralysis  of  respiration.  Hyoscyamus  is 
a  calmative,  hypnotic  and  narcotic.  Relieves  pain  and 
promotes  sleep.  It  is  not  irritating  nor  does  it  suppress 
secretion.  May  often  be  used  when  opium  is  contra- 
indicated.  In  small  doses  it  is  a  mild  nerve  stimulant, 
its  action  however  being  transient.  If  used  continuously 
for  some  time  it  will  cause  a  dry,  red  rash  which  is  very 
annoying  on  account  of  its  itching.  In  cases  that  have 
recovered  from  toxic  doses  it  is  sometimes  found  to 
leave  a  bloody  diarrhoea,  showing  that  in  large  doses  it 
acts  as  an  irritant  to  the  gastro-intestinal  tract.  The 
delirium  of  hyoscyamus  is  not  furious  and  is  accom- 
panied with  sleeplessness.  It  excites  cerebral  activity 
while  the  spinal  functions  are  depressed.  It  stimulates 
the  vaso-motor  and  cardiac  acceleratory  apparatus  and 
has  a  soothing  influence  on  the  urinary  passages. 

Indications :  Nervousness,  restlessness,  irritability, 
flushed  face,  dilated  pupils,  delirium,  violent  mania,  hal- 


MATERIA     MEDIC  A     AND     THERAPEUTICS  1 07 

lucinations;  dry  cough,  worse  at  night  and  relieved  by 
sitting  up. 

Use :  It  allays  irritation  of  the  cerebro-spinal,  and  to 
some  degree  of  the  sympathetic  nervous  system.  We 
think  of  it  in  excitable  mental  conditions  where  it  will 
subdue  the  excitement  and  promote  sleep.  In  insomnia 
from  exhaustion  and  debility.  In  chronic  dementia  with 
destructive  tendencies,  hallucination,  talkativeness,  ten- 
dency to  vulgarity.  In  violent  delirium  of  fevers  and 
inflammation  where  patients  sing  and  talk  almost  con- 
tinually. In  children  it  has  proved  a  valuable  hypnotic 
in  small  doses,  not  suppressing  secretion  as  opium  or 
morphine  do.  In  irritation  of  the  bladder  and  urethra, 
in  gonorrhoea  and  vesical  tenesmus.  Added  to  purgatives 
it  will  greatly  modify  griping. 

Ignatia  Amara: 

Syn. — Bean  of  St.  Ignatius;  Strvchnos  Ignatii. 

P,  E.— Seeds. 

N.  O. — Loganiacese. 

N.  H. — India,  Philippine  Islands. 

Properties :  Tonic  and  stimulant  to  vascular  and  ner- 
vous system. 

Physiological  action :  As  the  most  active  principle  of 
this  drug  is  strychnine  its  physiological  action  is  similar 
to  mix  vomica  and,  therefore,  the  reader  is  referred  to 
physiological  action  of  mix  vomica  for  ignatia  amara. 

Indications :  In  hysteria,  dragging  pains  in  the  pelvis, 
colicky  uterine  pains,  burning  in  soles  of  feet,  sexual 
apathy,  dysmenorrhcea  and  amenorrhoea,  continued  cold- 
ness of  legs  and  feet  in  women  during  the  change  of  life. 
Chorea,  the  result  of  fright;  twitching  of  the  eyelids, 
headache,  gloomy  forebodings  or  sleeplessness,  the  re- 
sult of  general  nervous  weakness.  In  some  cases  of  ner- 
vous debility. 

Use :  Although  ignatia  amara  is  prescribed  in  similar 
conditions  to  mix  vomica  it  appears  to  be'better  adapted 
to  females.  It  is  not  as  powerful  as  mix  vomica  but 
should  be  used  with  the  same  care.  Although  one  in- 
dication for  this  drug  is  twitching  of  the  eyelids,  it  must 
be  understood  that  it  is  only  in  such  conditions  where 


IO8  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

stimulation  is  in  place;  furthermore  if  this  drug  is  taken 
and  .produces  twitching  of  the  eyelids  is  should  be  dis- 
continued as  that  is  one  of  its  physiological  effects.  This 
also  applies  to  mix  vomica.  Ignatia  amara  has  a  direct 
action  on  the  spine  and  to  a  less  degree  on  the  cerebrum. 
Is  of  special  value  in  hysterical  women,  with  general 
nervous  weakness  and  depression  brought  on  by  long 
continued  uterine  disorders.  A  good  remedy  in  nervous 
dyspepsia.  Best  results  are  obtained  by  using  small 
doses. 

Inula  Helenium : 

Syn. — Inula  ;  Elecampane. 

P.  E.— Fresh  root. 

N.  O. — Composite. 

N.  H. — America  and  Europe. 

Properties :  Tonic,  expectorant,  diaphoretic,  mild 
stimulant. 

Use :  In  irritation  of  the  pulmonary  membranes.  Its 
main  action  is  on  the  large  air  passages,  the  trachea  and 
bronchi.  Lower  down  it  is  of  little  value.  We  think 
of  it  in  the  cough  of  influenza,  chronic  bronchitis,  teasing 
coughs,  profuse  catarrhal  secretions,  bronchitis,  night 
sweats,  catarrhal  discharge  of  the  uterus,  vagina  and 
bladder,  in  fact  in  a  general  atonic  condition  of  the  vis- 
cera. It  imparts  tone  to  the  urinary  tract,  stomach,  intes- 
tines and  respiratory  tract. 

Iris  Versicolor . 

Syn. — Iris  ;  Blue  Flag. 

P.  E.— Root. 

N.  O. — Iridacese. 

N.  H. — North  America. 

Properties :  In  small  doses  alterative ;  in  medium 
doses  antisyphilitic ;  in  large  doses  cathartic,  emetic. 

Indications :  Of  use  in  malarial  jaundice  where  there 
are  clay  colored  stools,  scanty  urine.  In  irritable  condi- 
tion of  the  digestive  tract,  manifesting  itself  by  neuralgic 
pains  over  the  eye,  generally  of  the  right  side ;  often 


MATERIA    MEDICA    AND    THERAPEUTICS  109 

pain  in  the  face  of  same  side;  nausea  and  vomiting  of 
acid  liquid  with  burning  sensation  in  the  throat  and 
stomach ;  regttrgitation  of  food,  especially  after  eating 
fats  or  very  rich  pastry.  Diarrhoea  with  sour,  watery 
discharge.  In  most  cases  it  should  be  associated  with 
other  indicated  remedies. 

Use :  In  chronic  jaundice  from  catarrhal  conditions 
of  the  duodenum  or  obstruction  of  the  bile  ducts.  In 
syphilis  and  strumous  conditions  where  there  is  glandu- 
lar inactivity  it  is  a  fine  remedy.  In  glandular  enlarge- 
ments, enlargements  of  the  lymphatics  of  a  soft  nature, 
especially  of  the  thyroid  it  is  used  with  success.  Of 
value  in  recent  cases  of  goitre.  In  skin  diseases  of 
chronic  nature,  oozing  ulcers,  it  is  of  great  value,  es- 
pecially if  combined  with  other  indicated  remedies;  also 
in  sick  headaches  caused  by  morbid  accumulations  in 
the  stomach.  It  stimulates  the  whole  glandular  system, 
lymphatics  and  skin  to  action,  and  especially  the  pan- 
creas and  salivary  glands  and  the  upper  intestinal  tract 
and  liver. 

Juglans  Cinerea: 

Syn. — Juglans ;  Butternut. 

P.  E. — Inner  bark  of  the  root. 

N.  O. — Juglandaceae. 

N.  H.— United  States. 

Properties :  Mild  intestinal  stimulant  and  laxative. 
In  large  doses  cathartic  and  emetic. 

Use :  In  skin  diseases  it  is  a  fine  remedy,  provided  the 
lesion  results  from  or  is  associated  with  digestive  dis- 
orders or  wrong  of  assimilation.  It  stimulates  waste  and 
improves  nutrition.  In  small  doses  it  is  of  value  in  dys- 
entery and  bilious  diarrhoea  with  irritation  and  tendency 
to  inflammation.  In  medium  doses  it  is  a  valuable  rem^ 
edy  in  chronic  constipation  if  stool  is  clay  colored  and 
dry  from  lack  of  bile  and  glandular  secretion.  In  bowel 
complaints  of  children  it  is  useful,  having  a  tendency  to 
correct  abnormal  conditions,  and  for  that_reason  is  use- 
ful in  constipation  and  early  stages  of  diarrhoea. 


110  MATERIA    MKPICA   AND  CLINICAL  THERAPEUTICS 

Leptandra  Virginica : 

Syn. — Leptandra  ;  Culver's  Root ;  Veronica  Virginica. 

P.  E. — Small  roots. 

N.  O. — Scrophulariacese. 

N.  H. — United  States  and  Canada. 

Properties:  Tonic,  laxative,  cathartic  and  chola- 
gogne. 

Indications :  Malaise,  soreness  on  pressure  and  full- 
ness in  the  region  of  the  liver.  Inactivity  of  the  gastro- 
intestinal organs,  torpid  liver,  constipation,  dull  head- 
ache, loss  of  appetite,  cold  skin  and  extremities,  mental 
depression  and  great  lassitude.  All  of  which  indicate 
deficiency  in  the  action  of  the  liver  and  gastro-intestinal 
tract.  It  tones  up  these  organs  and  improves  their  func- 
tion. We  think  of  it  in  malarial  conditions,  in  which 
cases  it  stimulates  the  secretion  of  bile  and  improves  the 
function  of  the  liver.  We  think  of  it  in  remittent  and  in- 
termittent fevers,  and  if  given  with  quinine  the  affect  of 
the  latter  is  much  more  marked.  It  tones  up  the  gastro- 
intestinal tract,  increases  the  activity  of  the  glandular 
organs,  is  therefore  indicated  where  there  is  inactivity 
or  torpidity  of  these  organs. 

Lilium  Tigrinum : 

Syn. — Tiger  Lily. 
P.  E. — Flowers  and  leaves. 
N.  O. — Liliaceae. 

N.  H. — China,  cultivated  in  United  States  and  Eu- 
rope. 

Properties :  Tonic,  astringent,  demulcent. 

Indications :  In  congestion  or  engorgement  of  the  re- 
productive organs  of  the  females.  Has  a  direct  influence 
on  the  ovaries,  uterus  and  vagina  and  subdues  chronic 
inflammation  of  these  parts. 

Use :  We  think  of  it  in  chronic  inflammation  of  the 
reproductive  organs  of  the  females,  neuralgic  gains  in  the 
uterus,  ovaries  or  mammae,  sometimes  extending  down 
inside  the  thighs.  Uterine  displacement  or  prolapsus 
from  debilitated  conditions  of  the  patient.  Amenorrhoea 
with  pain  or  burning  in  ovaries,  distressing  sensation 


MATERIA     MED1CA     AND     THERAPEUTICS  III 

about  the  heart,  a  sense  of  weight  in  the  lower  abdomen. 
Some  forms  of  dysmenorrhcea.  In  leucorrhoea  with  acrid 
discharge,  cancer  or  ulcers  of  the  uterus  it  is  of  value 
locally. 

Lippia  Mexicana: 

Syn. — Lippia  Dulcis. 

N.  O. — Verbenaceae. 

P.  E. — Leaves  and  stalks. 

N.  H. — Cuba,  Central  America. 

Properties:  Demulcent,  expectorant. 

Indications:  Persistent  dry  hard  resonant  or  ringing 
bronchial  cough.  Useful  in  chronic  bronchitis,  having 
a  soothing  and  sedative  effect  to  the  mucous  surface  of 
the  post-nasal  region  and  bronchial  tubes,  soothing  and 
relieving  irritability  of  these  surfaces,  and  is  a  valuable 
expectorant  in  these  conditions.  Its  action  is  limited  to 
the  air  passages. 

Lithii  Benzoas: 

Syn. — Lithium  Benzoate. 

If  carbonate  of  lithium  is  decomposed  with  benzoic 
acid  this  salt  results.  It  is  soluble  in  cold  water  (4),  in 
boiling  water  (10),  alcohol  (12). 

Use :  It  assists  in  dissolving  uric  acid  and  favors 
elimination  of  same.  As  it  is  very  irritating  to  the 
stomach  in  a  concentrated  form  it  should  always  be 
taken  well  diluted.  We  think  of  it  in  gout  and  rheuma- 
tism where  there  is  excess  of  uric  acid  in  urine, -gravel, 
cystic  irritation,  the  result  of  pressure  of  renal  sand.  It 
is  directly  indicated  where  there  is  an  uneasy  sensation 
in  the  loins  extending  to  the  bladder,  earthy  phosphates, 
gravel,  uric  acid  deposits  in  the  urine,  a  feeling  of  fullness 
and  tension  in  the  region  of  the  perineum,  frequent  de- 
sire to  micturate,  with  difficulty  in  passing  urine. 

Lobelia  Inflata : 

Syn. — Lobelia;  Indian  Tobacco;  Vomit  Weed. 

P.  E.— Whole  plant. 

N.  O. — Lobeliacese. 

N.  H. — North  America. 


112       MATER1A    MEDIC  A    AND    CLINICAL    THERAPEUTICS 

Properties:  Sedative,  antispasmodic,  emetic. 

Physiological  action :  In  large,  poisonous  doses  lo- 
belia is  a  powerful  depressant,  causing  extreme  prostra- 
tion and  relaxation.  Rapid  and  feeble  pulse,  burning  in 
the  throat  and  stomach ;  nausea,  vomiting,  purging,  gen- 
eral gastric  distress ;  cold,  clammy  skin,  tremor,  shallow 
respiration,  feeble  heart's  action,  anxiety,  muscular  re- 
laxation, sweating,  great  debility,  convulsions,  coma  and 
death  resulting  from  paralysis  of  the  pneumo-gastric 
nerve;  the  action  of  the  heart  continuing  after  the  former 
has  ceased.  In  large  but  not  toxic  doses  it  will  cause 
headache,  dizziness,  nausea  and  vomiting.  In  small  doses 
it  is  a  stimulant,  acting  especially  on  the  nerves  that  con- 
trol secretion  and  digestion.  It  acts  on  the  involuntary 
muscles  first,  then  on  the  voluntary ;  impaired  circula- 
tion, slow  pulse  result.  It  is  of  value  on  account  of  its 
stimulating  effect  on  the  nervous  system,  showing  its 
power  over  the  sympathetic  nervous  system.  It  is  a 
local  irritant,  but  will  not  produce  inflammation.  Has 
a  decided  action  on  the  nervous  system  and  particularly 
on  the  centers  of  the  pneumo-gastric  nerve. 

Indications:  Full  oppressed  pulse;  difficult,  irritable, 
spasmodic,  oppressed  breathing.  Respiratory  disorders 
resulting  from  nerve  irritation  or  exalted  nerve  force.  A 
feeling  of  oppression  in  the  chest  with  difficult  respira- 
tion. In  pains  of  agonizing  character  if  otherwise  indi- 
cated. 

Use:  Lobelia  is  a  nerve  depressant  of  great  power, 
therefore  should  not  be  used  when  the  pulse  is  very 
feeble.  As  a  relaxant  it  is  superior  to  most  other  rem- 
edies. In  minute  doses  it  checks  vomiting.  In  small 
doses  it  is  a  stimulant;  in  large  doses  a  relaxant  and  de- 
pressant to  the  nervous  system,  while  in  very  large  doses 
it  is  a  prompt  but  depressing  emetic.  We  think  of  it  in 
threatened  spasms  with  exalted  nerve  action,  spasms  of 
children,  spasmodic  asthma,  spasmodic  and  membranous 
croup,  pneumonia,  coughs  and  colds.  Applied  locally 
to  a  felon  before  suppuration  has  set  in  it  may  abort  it. 
In  rhtts  tox  poisoning  2  drachms  to  4  ounces  of  water 
applied  locally  is  very  good  treatment.  A  single  large 
dose  will  relieve  angina  pectoris  but  should  not  be  given 


MATKKIA      MKDTCA      AND     THERAPEUTICS  113 

where  there  is  marked  feebleness.  In  the  obstetrical 
practice  when  os  is  doughy  and  unyielding  it  is  of  value. 
The  average  dose  in  coughs,  colds  and  pneumonia  is 
about  10  to  40  drops  to  4  ounces  menstrum,  teaspoonful 
every  I  to  3  hours.  In  these  cases  it  should  always  be 
combined  with  10  to  20  drops  of  sanguinaria,  which  makes 
it  more  effective  and  less  depressing.  In  croup  and  mem- 
branous croup  it  should  be  used  in  larger  doses,  especi- 
ally in  the  latter.  In  these  cases  it  is  best  to  combine 
with  sanguinaria  to  make  it  more  effective.  In  spas- 
modic asthma,  spasms,  angina  pectoris  is  should  be  used 
in  much  larger  doses.  In  minute  doses  of  3  to  5  drops  in 
4  oz's  of  water,  teaspoonful  every  3  to  4  hours  it  is  a 
good  stimulant.  In  these  minute  doses,  in  proportionally 
less  quantity  according  to  the  age  of  the  child,  it  is  use- 
ful in  infantile  colic. 

Lycopus  Virginicus : 

Syn. — Bugleweed ;  Lycopus. 

P.  E.— Herb. 

N.  O.— Labiatae. 

N.  H.— United  States  and  Canada. 

Properties :  Sedative,  tonic,  astringent,  narcotic. 

Use :  Its  main  influence  is  on  the  thoracic  viscera. 
Acts  on  the  heart  as  a  nerve  sedative,  also  constricting 
the  blood  vessels,  and  to  some  extent  the  capillaries,  and 
diminishing  the  flow  of  blood.  Like  digitalis  it  will  re- 
duce the  velocity  of  the  pulse  but  does  not  accumulate 
in  the  system  nor  does  it  impair  the  nutrition  of  the  heart 
as  digitalis  will,  nor  is  it  depressing  in  its  after  effects. 
In  functional  or  organic  heart  disease  where  there  is  a 
feeling  of  oppression  in  the  region  of  the  heart,  irrita- 
bility and  dyspnoea,  it  is  a  valuable  remedy.  It  has 
proven  a  good  remedy  in  some  cases  of  dilatation,  hy- 
pertrophy and  valvular  lesions  of  the  heart.  As  it  is  not 
irritating  to  the  gastro-intestinal  tract  it  can  be  used 
a  long  time  without  any  bad  effect,  as  is  the  case  with 
other  heart  remedies.  In  tumultous  action  of  the  heart 
with  high  fever  and  pulmonary  symptoms  it  has  proven 
to  be  of  value.  In  high  fevers  of  typhoid  and  some  other 
fevers  it  has  proven  a  valuable  assistant  in  the  reduction 


114       MATERIA    MED1CA    AND    CLINICAL    THERAPEUTICS 

of  heat  without  any  bad  after  effects.  Acts  favorably  on 
the  temperature  in  phthisis,  pulmonalis  and  chronic  in- 
flammation of  the  lungs.  We  also  think  of  it  in  hemor- 
rhages due  to  determination  of  blood  to  the  tissues  of 
the  lungs,  kidneys  and  gastro-intestinal  tract.  It  con- 
trols vascular  excitement  and  passive  hemorrhage.  Of 
value  in  haemoptysis,  exopthalmic  goitre,  and  some  cases 
of  diabetis,  irritable  cough  in  inflammation  of  lungs.  It 
improves  digestion,  gives  appetite  and  relieves  irrita- 
tion of  the  gastro-intestinal  tract. 

Mentha  Piperita: 

Syn. — Peppermint. 

P.  E. — Leaves  and  flowers. 

N.  O.— Labiatse. 

N.  H. — America,  Europe,  Asia. 

Properties:  Antispasmodic,  stimulant,  carminative. 

Use :  We  think  of  it  in  nausea,  vomiting,  flatulence, 
colic,  griping  or  spasmodic  pain  in  the  bowels,  diarrhoea ; 
all  the  result  of  atony  or  irritability  of  the  stomach  or 
intestinal  tract.  Reflex  pain  from  pressure  of  gas. 
Where  there  is  a  tendency  of  the  food  to  ferment  in  the 
stomach  it  acts  as  an  antiseptic  and  tonic  and  thus  pre- 
vents fermentation  and  improves  digestion  in  a  general 
way.  It  is  contra-indicated  in  inflammatory  conditions 
of  the  gastro-intestinal  tract.  As  a  menstrum  for  other 
indicated  remedies  in  conditions  where  it  is  indicated 
mentha  piperita  is  extensively  used  in  the  form  of  pepper- 
mint water. 

Mitchella  Repens: 

Syn. — Mitchella;  Squaw  Wine;  Partridge  berry. 

P.  E.— Wrhole  plant. 

N.  O.— Rubiacea-. 

N.  H.— United  States. 

Properties :  Tonic,  diuretic,  astringent. 

Use :  In  amenorrhcea  and  dysmenorrhcea  it  is  of 
value.  False  labor  pains  are  often  relieved  by  it.  Its 
main  use  however  is  to  remove  influences  that  increase 
severity  of  labor,  and  if  given,  starting  in  a  few  months 
before  confinement,  in  10  to  15  drop  doses  2  to  3  times  a 


MATKKIA     ^IKDICA     AND     THERAPEUTICS  115 

day,  it  will  smooth  the  way  to  an  easy  labor  by  its  tonic 
influence  on  the  nervous  system  and  uterus. 

Nux  Vomica : 

Svn. — Strychnos ;  Nux  Vomica;  Vomit  Weed. 

P.  E.— Seeds. 

N.  O. — Loganiacese. 

N.  H.— East  Indies. 

Properties :  Tonic  and  stimulant. 

Physiological  action :  Its  influence  is  on  the  spinal 
cord  and  the  medulla  oblongata,  stimulating  the  reflex 
vaso-motor  functions  and  very  slightly  the  sensory.  The 
large  multipolar  ganglia  in  the  anterior  column  are 
mostly  affected,  being  stimulated  by  small  doses  and 
paralyzed  by  toxic  doses.  It  is  only  very  slowly  elim- 
inated from  the  system.  Moderate  doses  stimulate  the 
motor  and  inhibitory  centers  of  the  heart  and  contract 
the  arterioles,  and  raise  arterial  tension  by  stimulating 
the  vaso-motor  centers,  while  a  full  dose  relaxes  the 
arterioles.  The  elevation  of  arterial  blood  pressure, 
stronger  heart's  action,  increased  action  of  sweat  glands, 
dilation  of  pupils  in  large  doses  shows  its  powerful  in- 
fluence on  the  sympathetic  nervous  system.  A  full  dose 
will  cause  twitching  of  the  eyelids,  dryness  of  the  throat, 
twitching  of  the  muscles,  jerking  of  the  limbs,  stiffness 
in  the  lower  jaws,  drawing  down  of  the  corners  of  the 
mouth.  In  some  cases  it  also  causes  a  creeping,  tingling 
sensation  in  the  skin.  The  severer  symptoms  from  large 
toxic  doses  are  constriction  of  the  throat,  headache,  diz- 
ziness, neuralgic  pain  in  spine,  unsteady,  tottering  gait, 
rigidity  of  the  muscles,  especially  of  the  extensors,  in- 
termittent tetanic  convulsions,  opisthotonos.  There  is 
labored  breathing,  pulse  becomes  rapid  and  fluttering, 
pupils  dilate  with  a  staring  expression  of  fear.  The  least 
stimulus  will  bring  on  a  spasm.  As  the  system  becomes 
exhausted  spasms  become  less  violent ;  patient  finally 
becoming  asphyxiated  through  spasm  and  paralysis  of 
the  respiratory  muscles. 

Indications:  In  impairment  of  tone  of  the  gastro-in- 
testinal  apparatus.  Broad,  pallid  tongue,  sallow  face, 
yellowish  ring  around  the  mouth.  Abdominal  or  gastric 


Il6  MATERIA    MEDICA  AND  CLINICAL   THERAPEUTICS 

pains  pointing  or  radiating  towards  the  umbillicus  in  ab- 
sence of  inflammation  or  irritation. 

Use :  In  minute  doses  it  tones  up  the  digestive  or- 
gans ;  will  relieve  constipation,  the  result  of  atony  by 
increasing  peristalsis.  It  is  a  direct  stimulant  to  the 
spinal  cord  and  medulla  oblongata.  Where  there  is 
spinal  enervation  resulting  in  feeble  respiration,  which 
in  some  cases  is  so  marked  that  it  can  only  be  carried  on 
under  the  influence  of  the  will,  it  is  the  only  remedy 
that  we  can  rely  on  at  the  present  time.  We  think  of  it 
in  constipation,  nausea  and  vomiting,  colic,  and  indiges- 
tion from  overeating ;  if  the  tongue  is  broad  and  pallid, 
showing  a  condition  of  atony.  Of  value  in  dipsomania 
and  impotency.  There  are  many  conditions  in  which 
nux  vomica  is  a  valuable  remedy  but  where  its  sexual 
stimulation  results  in  over-indulgence  its  otherwise  ben- 
eficial effect  will  be  lost.  To  avoid  this  stimulating 
effect  on  the  reproductive  organs  it  should  be  associated 
with  avena  sativa ;  the  tonic  effect  of  nux  vomica  to  the 
system  will  be  equally  pronounced,  but  no  undesirable 
stimulation  exerted  on  the  sexual  organs. 

Oenanthe  Crocata: 

Syn. — Water  Dropwort. 

P.  E.— Root. 

N.  O. — Umbelliferae. 

N.  H. — Europe. 

Properties :  Stimulant,  antispasmodic. 

Physiological  action :  A  burning  heat  in  the  throat 
and  stomach,  headache,  nausea,  vertigo,  impairment  of 
mind;  delirium  of  a  violent  nature;  convulsions  severe 
and  violent;  pulse  becomes  small;  sensation  and  motion 
are  lost:  rash  appears  all  over  the  body;  face  becomes 
swollen,  froth  at  the  mouth  and  nose,  which  is  of  a 
bloody  nature;  coma  and  death  end  the  scene.  By  above 
symptoms  we  can  readily  see  that  it  causes  powerful 
determination  of  the  blood  to  the  brain  in  physiological 
doses.  The  plant  looks  a  good  deal  like  garden  parsley 
and  fatal  mistakes  have  been  made.  It  is  a  powerful 
remedy  and  should  be  used  with  care. 

Use:  It  is  a  remedy  that  is  highly  recommended  in 


MATERIA     MEDTCA     AND    THERAPEUTICS 

epilepsy ;  but  only  in  cases  where  there  is  more  or  less 
marked  anaemia  of  the  brain  and  spinal  cord.  It  appears 
to  increase  the  circulation  and  nutrition  of  the  brain  and 
spinal  cord  in  these  conditions.  Therefore  in  cases  where 
there  is  fullness  of  capillary  vessels  of  the  brain  and 
.spinal  cord  it  is  contra-indicated.  Should  it  produce 
hendache  dose  should  be  reduced. 

Opium : 

Syn. — Papaver  Somniferum;  White  Poppy. 

N.  O. — Papaveraceae. 

N.  H. — Asia  Minor,  Japan,  Egypt. 

Properties:  Small  doses  stimulant,  large  doses  seda- 
tive and  narcotic. 

Physiogogical  action  :  Opium  is  obtained  by  incising 
the  unripe  capsule  of  the  white  poppy;  the  resulting 
concrete  milky  exudation  being  what  is  used.  In  very 
small  doses  opium  or  morphine  at  first  act  as  stimulants, 
then  in  a  very  short  time  there  is  a  desire  to  sleep  ac- 
companied by  a  placid  sensation,  freedom  from  care ;  no 
noise  or  disturbance  will  now  arrest  the  patient's  desire 
to  sleep.  The  pulse  is  slightly  quickened,  mouth  gets 
dry  and  perspiration  sets  in.  Sleep  lasts  from  one  to  two 
hours.  On  awakening  there  may  be  nausea  and  perhaps 
vomiting,  headache  and  there  is  always  diminished  se- 
cretion, except  of  the  skin,  constipation  generally  follows. 
If  taken  in  larger  doses  above  symptoms  are  more 
marked,  head  feels  full,  mind  gets  confused,  a  burning 
sensation  is  felt  in  the  ears ;  delirium  may  occur  followed 
by  marked  exhaustion.  In  this  stage  the  pulse  will  be- 
come slower  and  more  irregular,  heaviness  of  the  head, 
but  the  fullness  is  less  severe ;  intoxication  results.  Af- 
ter awakening  the  symptoms  of  nausea,  vomiting,  dimin- 
ished secretion  and  constipation  are  more  marked  then 
where  smaller  doses  are  taken.  If  taken  in  very  large 
poisonous  doses  after  the  excitement  there  is  great  de- 
pression, confusion  of  mind,  pulse  becomes  slow,  face 
dusky,  breathing  stertorous,  patient  falls  into  a  comatose 
state  from  which  it  is  almost  impossible  to  arouse  him, 
momentarily.  This  followed  after  a  few  hours  or  more 
by  pale  face,  weak  and  thready  pulse,  contracted  pupils, 


Il8  MATKKIA   MKPICA  AND  CLINICAL  THERAPEUTICS 

cool  and  clamy  skin,  cold  extremities,  stertorous  breath- 
ing, profuse  perspiration ;  it  is  now  impossible  to  rouse 
patient  and  death  soon  ends  the  scene.  The  slow  pulse 
at  first  is  caused  by  its  stimulating  effect  on  the  vaso- 
motor  centers,  and  as  these  become  paralyzed  the  pulse 
becomes  rapid.  The  pupils  are  contracted  at  first  by  its 
stimulating  effect  on  the  oculomotor  nerves;  as  death  ap- 
proaches these  become  paralyzed  and  the  pupils  dilate. 
Death  in  all  cases  results  from  paralysis  of  respiration. 
Sleep  is  produced  by  lessening  cerebral  activity.  Its 
action  is  divided  into  two  stages.  In  the  first  stage  there 
is  hypersemia  of  the  brain  and  stimulation  manifesting 
itself  by  flushed  face  and  bright  eyes.  In  the  second 
stage  the  reaction  takes  place  the  nervous  system  gets 
exhausted,  coma  comes  on,  breathing  becomes  stertorous 
and  congestion  of  the  brain  results.  Opium  or  morphine 
often  cause  an  eruption.  Its  application  to  wounds  has 
a  narcotic  effect.  Children  should  never  have  it  nor 
should  a  mother  use  it  while  nursing  a  child.  Should 
never  be  given  when  contra-indicated. 

Indications :  Pain  without  cerebral  engorgement.  It 
may  be  used  when  the  pulse  is  soft  and  open  and  the 
skin  moist,  perhaps  relaxed  and  cool,  tongue  moist. 

Use:  Opium  and  morphine  are  so  much  abused,  result- 
ing in  the  morphine  or  opium  habit  that  a  word  of  warn- 
ing is  not  out  of  place.  Use  it  judiciously  and  only  when 
other  agents  fail  to  give  desired  relief.  Its  indication  and 
centra-indication  should  always  be  borne  in  mind. 
Opium  acts  through  the  nervous  system  producing  sleep 
by  lessening  cerebral  action.  In  small  quantities  it  is  a 
temporary  stimulant.  It  checks  secretion  of  the  mucous 
membrane,  diminishes  appetite,  increases  thirst  and  ar- 
rests digestion.  We  think  of  it  in  emergencies  where 
other  remedies  less  objectionable  fail  to  relieve.  In  se- 
vere spasmodic  troubles  with  intense  pain,  painters'  colic, 
passage  of  biliary  calculi,  when  indicated.  Morphine  we 
think  of  in  passage  of  calculi,  puerperal  convulsions,  dys- 
pnoea and  pain  of  angina  pectoris,  in  fact  in  severe  uncon- 
trolable  spasms  and  pain  where  other  remedies  fail  and 
morphine  and  opium  are  indicated.  If  labor  progresses 
slowly  on  account  of  the  rigidity  of  the  circular  fibers 


AI.VIT.KIA      MI.DICA     AND     THERAPEUTICS  IIQ 

of  the  os  uteri  opium  is  one  of  our  best  remedies.  If  pain 
is  intense  and  speedy  relief  is  required  morphine  acts 
more  quickly  than  opium.  It  is  well  if  not  contra-indi- 
cated to  give  before  an  operation  to  nervous  patients, 
a  little  before  anaesthetics  are  administered.  As  its  pri- 
mary action  is  that  of  a  brain  and  nerve  stimulant,  it  is 
contra-indicated  in  any  case  where  there  is  overstimula- 
tion  of  the  nervous  system,  manifesting  itself  by  flushed 
face,  bright  eyes,  contracted  pupils,  hot  and  dry  skin, 
dry  and  coated  tongue  and  deficient  activity  of  the  ex- 
cretory functions. 

Papaya : 

Syn. — Carica  Papaya ;  Papaw ;  Melon  Tree. 

P.  E. — Active  principle  from  juice  of  unripe  fruit. 

N.  O. — Papayacese. 

N.  H. — Tropical  countries  of  America. 

Properties :  Antifermentive,  antiseptic,  solvent. 

Use :  Papaya  is  soluble  in  water  and  glycerine.  It  is 
a  vegetable  digestive  of  great  value,  accomplishing  re- 
sults not  obtained  by  the  more  objectionable  animal  di- 
gestives. It  acts  on  fats,  starchy  substances,  albumin- 
oids, emulsifying  the  former  much  more  promptly  than 
pancreatin  ;  will  readily  peptonize  the  albuminoids,  con- 
vert starch  into  maltose,  etc.,  stimulates  the  secretion  of 
natural  digestive  ferments  and  served  as  a  tonic  to  the 
digestive  and  intestinal  tract.  If  there  is  excess  of  hy- 
drochloric acid  in  the  stomach  and  this  is  carried  into 
the  duodenum,  preventing  the  action  of  the  trypsin  papoid 
will  prevent  duodenal  indigestion,  taking  the  place  of 
the  pancreatic  ferment.  We  think  of  it  where  patient 
complains  an  hour  or  so  after  meals  of  pain  in  the  bowels ; 
general  distress  during  digestion  in  the  stomach  and 
bowels.  Useful  in  failing  digestion  in  fevers,  digestive 
disorders  in  pregnancy,  catarrh  of  the  stomach.  In  neu- 
ralgic pains,  pains  occurring  before  meals  or  continued 
pains  it  is  of  no  value.  The  powder  as  a  solvent  of  the 
false  membrane  of  diphtheria  is  of  great  value.  Relieves 
the  distress  and  pain  in  cancer  of  the  stomach.  In  false 
membranes  in  obstruction  of  the  esophagus  by  impaction 
of  meat,  a  paste  made  of  papaya  will  dissolve  it.  Useful 


I2O  MATERTA   MEDICA  AND  CLINICAL  THERAPEUTICS 

to  destroy  or  rather  to  dissolve  membranes  in  the  in- 
testinal tract  that  are  the  seat  of  tape  worm  and  other 
worms;  thus  being  of  value  as  an  anthelmintic.  In  in- 
fantile indigestion  it  will  peptonize  cow's  milk.  A  5% 
solution  makes  a  good  solvent  for  general  purpose.  Dry 
beans,  peas,  etc.,  that  cannot  be  extracted  after  accident- 
ally lodging  in  the  ears  or  nose  can  be  dissolved  by  a  5% 
solution  of  papaya.  The  writer  uses  a  preparation  of 
papaya  called  "Papain"  which  has  given  him  the  best  of 
satisfaction. 
Passiflora  Incarnata: 

Syn. — Passiflora  ;  Passion  Flower. 

P.  E. — Fresh  plant. 

N.  O. — Passifloracese. 

N.  H.— Southern  States,  U.  S.  A. 

Properties :  Nerve  sedative,  hypnotic,  antispasmodic. 

Indications :  In  absence  of  determination  of  blood  to 
the  head  and  absence  of  a  dirty  and  heavily  coated  tongue 
it  is  a  safe  and  harmless  soporific  and  will"  allay  irritation 
of  the  brain  and  central  nervous  system. 

Use :  In  derangements  of  the  nervous  system  such  as 
insomnia,  chorea,  convulsions  and  nervous  headache  it 
is  a  good  remedy  if  indicated.  It  is  of  little  value  in 
wakefulness  of  pain ;  but  a  valuable  remedy  in  wakeful- 
ness  from  exhaustion  and  excitement  and  wakefulness 
of  infants  and  old  people.  In  convulsions  it  serves  a 
good  purpose ;  especially  in  those  of  childhood  when  it 
should  be  given  in  large  doses  before  the  approach  of  the 
convulsion.  The  sleep  produced  by  passiflora  is  restful 
and  the  patient  awakens  refreshed.  This  makes  it  a  good 
hypnotic  when  indicated.  In  insomnia  with  flushed  face 
and  determination  of  blood  to  the  head  it  should  never 
be  given.  Where  there  is  a  dirty  and  heavily  coated 
tongue  its  action  is  not  satisfactory.  Its  range  of  use- 
fulness is  very  limited  and  only  beneficial  where  it  is 
prominently  indicated. 

Peroxide  of  Hydrogen : 

Syn. — Hydrogen  dioxide,  oxygenated  water.  A  col- 
orless liquid  of  a  specific  gravity  of  1.40.  Will  give 
off  oxygen  at  60  degrees  F.,  and  it  is  explosive  at  a 


MATKRIA    MEDICA    AND    THERAPEUTICS  121 

higher  degree  of  heat;  setting  free  oxygen  gas  and  re- 
solving itself  into  water  again.  It  has  a  slightly  acid  re- 
action. Should  be  kept  cool  and  not  too  tightly  corked. 
On  account  of  presence  of  extra  atom  of  oxygen  it  is  a 
powerful  oxidizer;  therefore  an  active  deodorant,  anti- 
fermentive,  destroying  all  products  of  fermentation. 
Will  destroy  disease  germs  when  brought  in  contact  with 
sores  of  any  kind.  It  causes  coagulation  of  albumen  and 
evolves  gas  when  applied  locally.  For  this  reason  it 
should  not  be  used  in  cavities  with  small  openings,  which 
prevent  the  escape  of  the  gas ;  the  pressure  of  the  result- 
ing gas  in  such  cases  would  damage  and  destroy  tissue. 
It  is  a  very  useful  antiseptic.  We  think  of  it  to  clean 
wounds,  ulcers,  abscesses,  etc.  However  these  should  be 
afterwards  washed  well,  as  it  has  some  irritating  quali- 
ties. As  a  gargle  it  is  useful  in  sore  throat;  in  which  case 
it  should  be  diluted  to,  say  I  part  peroxide  of  hydrogen 
to  3  parts  of  water.  In  diphtheria  it  may  be  applied  pure 
until  membrane  is  removed.  In  applying  it  in  diphtheria 
the  physician  should  have  a  towel  or  handkerchief  sat- 
urated with  a  little  formaldehyde,  carbolic  acid  or  other 
germicide  tied  over  his  mouth  and  nose  to  prevent  con- 
tagion. In  infective  diseases  of  the  intestinal  tract  an 
enema  of  a  10%  solution  is  very  useful.  May  be  taken 
internally  in  doses  of  from  5  to  15  drops  well  diluted  to 
prevent  fermentation  in  the  stomach.  Wre  also  think  of 
it  in  many  skin  diseases  as  a  cleansing  application  to  be 
followed  by  proper  dressing.  In  all  these  conditions  hy- 
drozone  is  preferable,  being  more  powerful  and  at  the 
same  time  less  irritating.  Hydrozone  contains  about 
27  volumes  of  oxygen  in  place  of  16  as  peroxide  of  hydro- 
gen does. 

Petroselinum : 

Syn. — Apium  ;  Petroselinum  ;  Parsley. 
P.  E. — Roots  and  seeds. 
N.  O. — Apiacese. 
X.  H. — Europe  and  America. 
Properties :  Diuretic. 

Use:  In   irritation  of  the   mucous   membrane  of  the 
o-cMiito-urinary  organs  giving  rise  to  scalding  and  burn- 


122  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

ing.  Of  use  in  cystitis,  gonorrhoea,  nephritis  or  in  fact 
in  any  condition  of  irritation  or  inflammation  where  di- 
uretic and  soothing  affects  are  indicated.  Best  given  in 
form  of  an  infusion.  Apiol  is  a  yellowish  oily  liquid  pre- 
pared from  parsley.  It  appears  to  be  of  great  value  in 
amenorrhcea  and  some  forms  of  dysmenorrhoea.  Has 
no  abortive  power.  It  stimulates  nerve  force.  Dose  3 
to  10  drops. 

Phytolacca  Decandra : 

Syn. — Phytolacca  ;  Poke. 

P.  E. — Plant  and  berries. 

N.  O. — Phytolaccacese. 

N.  H. — North  America. 

Properties :  In  small  doses,  alterative.  In  large  doses 
cathartic,  emetic,  narcotic. 

Physiological  action  :  In  large  doses  it  acts  as  a  gas- 
tro-intestinal  irritant,  producing  vomiting,  purging,  diz- 
ziness, drowsiness,  feeble  pulse,  general  prostration,  cool 
and  sometimes  clammy  skin  and  even  convulsions,  coma 
and  death.  Generally  a  tingling  or  prickling  sensation 
is  felt  over  the  whole  body. 

Indications :  Pallid  tongue  and  mucous  membrane, 
tongue  slightly  coated,  looking  as  though  it  was  covered 
with  a  glutinous  substance ;  sometimes  tongue  has  a 
leaden  appearance.  In  inflammation  and  various  af- 
fections of  the  lymphatic  glands,  especially  if  swollen  and 
hard. 

Use :  Phytolacca  has  a  specific  influence  on  the  glan- 
dular structures,  increasing  waste  and  improving  nutri- 
tion. A  good  remedy  in  inflammation  of  the  glandular 
system,  especially  of  the  lymphatic  glands.  In  rheuma- 
tism in  which  the  white  fibres  are  involved  it  may  be 
used  to  advantage.  Irritants  in  the  blood,  the  result  of 
deficient  katabolism,  producing  pains  of  rheumatic  na- 
ture will  be  corrected  by  the  use  of  phytolacca.  It  will 
relieve  irritation,  inflammation  and  ulceration  of  the 
mucous  membrane  in  any  part  of  the  body.  Our  best 
remedy  in  mastitis  and  to  abort  mammary  abscesses,  in 
these  cases  we  combine  it  to  advantage  with  echinacea. 
We  think  of  it  in  stomatitis,  tonsillitis,  sore  nipples,  pain 


MATERIA    MEDICA    AND    THERAPEUTICS  123 

in  the  breasts  with  fullness,  inflammation  of  the  mammae. 
\Ve  also  think  of  it  with  other  remedies  indicated,  in  diph- 
theria, sore  mouth  of  nursing  child,  chancre,  buboe,  syph- 
ilis and  skin  disease,  especially  if  of  the  squamous  vari- 
ety. We  should  never  forget  that  in  the  affections  of  the 
lymphatic  glands,  especially  where  they  are  hard  and 
swollen  phytolacca  is  our  best  remedy. 

Phosphorus :  I 

Symbol  P. 

Extracted  from  ashes  of  bones  in  which  it  exists  as 
tricalcium  phosphate.  Unstable  in  the  air,  not  soluble 
in  water;  but  in  alcohol.  Slightly  soluble  in  turpentine, 
ether  and  essential  oils.  Carbon  bisulphide  dissolves  18 
times  its  weight  of  phosphorus. 

Physiological  action :  In  very  small  doses  it  is  a  gen- 
eral stimulant  and  nerve  tonic,  larger  doses  it  is  a  violent 
poison,  death  resulting  from  its  deoxidizing  effect  on  the 
blood.  In  large  doses  it  will  produce  violent  inflamma- 
tion of  the  gastro-intestinal  tract,  nausea,  vomiting,  in- 
tense burning  pain,  general  prostration,  cold  and  clammy 
skin.  Severe  headache,  anxiety  and  restlessness,  wild 
delirium,  coffee  ground  vomit,  scanty  and  albuminous 
urine,  coma  and  death. 

Use :  A  powerful  nutritive  stimulant  to  the  whole 
nervous  system.  Phosphorus  must  be  used  with  care 
and  in  small  doses  as  it  is  a  deadly  poison,  nor  should  its 
use  be  continued  very  long.  We  think  of  it  in  nervous 
exhaustion,  exhaustion  from  overwork  or  mental  strain, 
insomnia  of  nervous  prostration.  \Ye  think  of  it  in  fatty 
degeneration  of  any  organ,  neuralgia  of  cerebral  anaemia, 
weak  heart  from  nervous  exhaustion,  nervous  debility, 
mental  derangement.  In  small  doses  it  has  a  favorable 
influence  on  the  chest,  overcomes  pulmonary  engorge- 
ment, modifies  the  cough  of  phthisis,  cures  intercostal 
neuralgia,  stitches  in  the  chest  of  neuralgic  nature.  In 
pneumonia  or  pleurisy  where  there  is  failing  strength, 
short,  dry  hacking  cough  it  is  of  value.  Removes  irri- 
tability of  the  prostate  if  from  sexual  excesses  as  well  as 
irritability  of  the  urinary  apparatus.  The  hypophos- 
phites  are  restorative  to  the  nervous  and  bony  system. 


124  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

In  some  cases  lactophosphate  of  calcium,  in  others  of 
sodium  or  potassium,  is  indicated  and  it  is  therefore  im- 
portant to  give  it  in  the  form  the  case  demands.  In 
chronic  conditions  the  syrup  of  hypophosphates  is  the 
most  appropriate,  while  in  acute  conditions  phosporus 
is  best  when  there  is  exhaustion  of  nerve  force. 

Pichi : 

Syn. — Fabiana  Imbricata. 

P.  E. — Leaves. 

N.  O. — Solanacese. 

N.  H. — South  America. 

Properties :  Diuretic,  slightly  tonic. 

Indicated :  In  irritation  and  inflammation  of  the  blad- 
der, especially  if  due  to  mechanical  causes,  gravel,  uric 
acid,  phosphoric  or  calcareous  deposits  it  is  a  good  rem- 
edy. In  vesical  tenesmus,  dysuria,  it  is  almost  a  specific. 
In  uric  acid  diathesis,  lithaemea  it  stimulates  the  liver  to 
action,  greatly  increases  the  action  of  the  kidneys,  re- 
duces excess  of  uric  acid  permanently.  May  be  thought 
of  in  cystitis,  gonorrhoea,  recent  cases  of  simple  renal 
hypersemia.  It  acts  as  a  gastric  tonic,  increases  appetite, 
promotes  digestion.  It  should  not  be  combined  with 
salines.  Dose  fluid  extract  10  to  30  minims  taken  in  gly- 
cerine or  mucilage  as  it  will  precipitate  in  water. 

Pilocarpus  Jaborandi : 

Syn. — Jaborandi. 

P.  E. — Small  leaves. 

N.  O. — Rutacese. 

N.  H.— Brazil. 

Properties :  Diaphoretic,  sialagogue. 

Physiological  action  :  It  is  the  most  profound  stimu- 
lant to  secreting  organs  of  the  glandular  system  we  have 
and  its  relaxing  and  depressing  effect  should  be  carefully 
watched.  In  large  doses  it  may  produce  nausea,  vomit- 
ing, extreme  relaxation,  weakness,  dimness  of  sight  and 
general  collapse.  However,  these  symptoms  hardly  ever 
occur,  as  its  effect  can  be  watched  and  it  need  not  be 
given  in  such  large  doses.  Some  people  are  very  suscep- 
tible to  its  action,  even  if  given  in  small  doses,  and  this 
should  be  always  born  in  mind.  Its  relaxing  effects  can 


MATERIA     MEDICA    AND    THERAPEUTICS  125 

be  counteracted  with  belladonna.  Stimulants  may  be 
given  if  the  relaxing  effect  has  not  been  so  marked ;  such 
as  mix  vomica,  etc. 

Indications :  Acute  suppression  of  secretion  in  sthenic 
conditions.  Hard  and  sharp  pulse,  dry  skin,  urine  scanty 
and  of  high  specific  gravity. 

Use:  Powerfully  stimulates  the  secretion  of  the  en- 
tire glandular  system.  There  is  no  remedy  that  will  so 
powerfully  and  promptly  stimulate  the  secretion  in  all 
parts  of  the  body.  It  should  never  be  used  when  contra- 
indicated  and  its  depressing  effects  should  always  be 
watched  even  if  prominently  indicated.  It  should  not 
be  used  in  asthenic  conditions  or  in  feeble  and  dilated 
heart,  nor  with  very  young  or  very  old  people.  We 
think  of  it  in  most  fevers  at  the  outset  and  in  inflamma- 
tory conditions  where  indicated.  To  remove  serous  ef- 
fusion in  inflammatory  conditions  of  the  lungs  and 
pleura,  it  is  a  valuable  remedy.  We  also  think  of  it  in 
influenza,  acute  laryngitis,  tonsillitis,  diphtheria,  laryn- 
gismus  stridulus  dropsy,  acute  inflammatory  rheuma- 
tism, acute  mastitis,  exanthematous  fevers  and  as  a 
galactagogue.  A  good  remedy  in  the  active  inflammatory 
stage  of  diseases  of  the  respiratory  tract.  In  tetanus  give 
the  alkaloid  pilocarpine  hypodermically ;  relax  muscles 
with  chloroform  and  then  give  jaborandi  internally  in  8 
to  15  drop  doses.  Although  the  average  dose  of  jabor- 
andi is  about  T  drachm  to  4  ounces  of  water,  teaspoon- 
ful  every  2  hours :  in  emergencies  and  severe  cases  where 
prominently  indicated  it  may  be  used  in  larger  doses, 
carefully  watching  its  effect.  In  strychnine  poisoning 
jaborandi  is  our  best  internal  remedy  and  will  often  suc- 
ceed where  all  other  means  fail.  It  may  be  given  in  8  to 
15  drop  doses  every  15  minutes,  until  spasms  are  modi- 
fied and  come  at  longer  intervals;  then  gradually  de- 
crease dose  and  give  at  longer  intervals. 

Pinus  Canadensis : 

Syn. — Hemlock  ;  Spruce. 

P'.  E.— Resin. 

X.   O. — Coniferse. 

X.  H.— Xorthern  part  of  the  United  States. 


126  MATEKIA   MEIMCA  AND  CLINICAL  THERAPEUTICS 

Properties :  Astringent,  stimulant. 

Use :  The  oil  of  hemlock  is  very  extensively  used  in 
liniments.  The  oleoresin  commonly  known  as  Canada 
pitch  is  used  in  plasters  very  extensively.  The  tincture 
is  valuable  in  obstinate  cases  of  leucorrhoea ;  I  part  of 
specific  pinus  canadensis  to  3  parts  of  castor  oil  applied 
locally  to  walls  of  vagina  and  cervix  of  uterus  every 
other  day  is  of  great  value.  A  little  echinacea  and  tiger 
lily  may  be  added.  Of  value  locally  as  an  astringent  in 
sore  throat. 

Piper  Methysticum: 

Syn, — Kava  Kava. 

P.  E.— Root. 

N.  O. — Piperace?e. 

N.  H.— South  Sea  Islands. 

Properties :  Diuretic. 

Physiological  action  :  Piper  methysticum  has  a  pun- 
gent and  burning  taste,  at  first  causing  warmth  and  then 
numbness  of  the  mouth.  It  will  slow  the  heart's  action 
but  increase  its  strength.  At  first  the  blood  pressure  is 
increased,  later  it  is  lowered.  Its  action  on  the  sweat 
glands  is  very  powerful,  so  much  so  that  it  has  caused 
elephantiasis  in  a  few  instances  where  it  was  used  in 
large  doses  for  some  time.  Has  caused  temporary  im- 
paired vision.  Skin  troubles  of  various  kinds  have  re- 
sulted from  its  use.  It  has  anaesthetic  effects  both  lo- 
cally and  internally.  Increases  secretion  of  saliva.  It 
will  affect  peripheral  ends  of  the  afferent  nerves,  at  first 
impairing  and  then  destroying  their  function.  It  di- 
minishes and  later  abolishes  reflex  action,  therefore  pa- 
ralysis is  caused  by  its  direct  action  on  the  cord.  The 
heart's  force  is  increased  by  its  use  but  beat  is  lessened, 
the  result  of  stimulation  of  the  cardio-inhibitory  centers 
and  to  a  less  extent  of  the  ganglia.  It  stimulates  respira- 
tion at  first  then  depresses  and  finally  paralyzes  it.  Its 
stimulating  effect  is  on  the  pulmonary  peripheries  of  the 
vagi  and  the  depressing  and  paralyzing  effect  on  the 
respiratory  center  of  the  medulla.  In  small  doses  it  will 
increase  temperature  while  in  large  doses  it  depresses 
same. 


MATKRIA    MKDICA    AND   TIIKRAI'EUTICS  I2/ 

Use :  Its  main  influence  is  upon  the  mucous  mem- 
brane of  the  genito-urinary  apparatus,  reducing  the  quan- 
tity of  blood  in  the  capillaries,  thus  reducing  inflamma- 
tion of  the  parts.  One  of  our  best  remedies  in  gleet  and 
gonorrhoea  in  the  sub-acute  and  chronic  stages.  In- 
creases the  power  to  expel  the  urine,  relieves  painful 
urination  and  often  overcomes  strangury.  Of  value  in 
nocturnal  enuresis  of  the  aged  and  of  children  the  result 
of  muscular  weakness,  and  in  chronic  cystitis.  It  im- 
proves digestion,  correcting  torpidity  of  the  entire  di- 
gestive tract ;  of  value  in  gastro-intestinal  neuralgia,  neu- 
ralgic dysmenorrhea  or  neuralgic  pains  in  labor.  Has 
decided  local  and  general  anaesthetic  effects.  Of  value  in 
toothache  locally  and  internally.  A  valuable  remedy  in 
some  forms  of  neuralgia,  especially  in  the  head  anywhere 
above  the  ears. 

Piscidia  Erythrina : 

Syn. — Jamaica  Dogwood. 

P.  E—  Bark  of  root. 

N.  O. — Leguminosae. 

N.  H.— West  Indies. 

Properties :  Hypnotic,  soporific,  sudorific. 

Physiological  action :  .In  medium  doses  it  induces 
sleep,  diminishes  sensation,  increases  flow  of  saliva  and 
favors  perspiration.  In  poisonous  doses  the  heart's  ac- 
tion is  at  first  increased,  then  lessened.  Causes  dyspnoea, 
first  contracts  then  dilates  pupils.  Convulsions  and  te- 
tanic spasm  if  present,  result  from  overstimulation  of  the 
spinal  cord,  paralysis  and  death  following  in  severe  cases. 

Use :  A  nerve  sedative  which  overcomes  nervous  ex- 
citability and  reflex  irritability.  Produces  quiet  and  rest- 
ful sleep.  Controls  pain  to  some  extent  and  does  not 
suppress  secretion  as  morphine  or  opium  do.  For  per- 
sons susceptible  to  this  drug  it  is  a  valuable  remedy  to 
alleviate  pain  and  produce  sleep. 

Plantago  Major: 

Syn. — Plantain  leaves. 

P.  E.— Whole  plant. 

X.  O. — Plantaginaceae. 

N.  H. — America  and  Europe. 


128  MATERTA   MED1CA  AND  CLINICAL  THERAPEUTICS 

Properties. — Alterative,  diuretic,  hemostatic. 

Use :  Very  good  remedy  in  facial  neuralgia  in  which 
the  submaxillary  nerves  are  involved.  In  such  cases  it 
is  beneficial  in  toothache. 

Podophyllum  Peltatum : 

Syn.- — Podophyllum,  Mandrake,  May  Apple. 

P.  E. — The  rhizome  of  the  root. 

N.  O. — Berberidacere. 

N.  H.— United  States,  U.  S.  A. 

Properties :  Cathartic,  cholagogue. 

Physiological  action  :  In  large  doses  it  is  a  drastic 
cathartic  and  for  that  reason  too  large  doses  should  be 
avoided. 

Indication :  Full,  oppressed  pulse,  full  tongue  with 
a  full  and  sodden  appearance,  yellowish  coat,  more  heav- 
ily coated  in  back,  vertigo,  head  feels  heavy;  there  is 
constipation,  mind  may  be  confused ;  abdomen  full  and 
doughy,  skin  sallow.  Temperature  normal  or  in  some 
cases  below  normal. 

Use  :  Podophyllum  is  a  stimulant  to  the  upper  intes- 
tines and  liver.  It  influences  the  ductless  glands  and 
favors  blood  making.  In  biliousness,  enlargement  of  the 
liver,  constipation,  jaundice,  gall  stones,  scrofula  or 
syphilis;  it  is  a  good  remedy  if  indicated  and  should  be 
used  with  such  other  remedies  as  are  indicated.  Tn 
chronic  constipation,  dry  stool  in  children,  hemorrhoids, 
the  result  of  deficient  peristalsis ;  it  is  of  great  value  if 
given  in  small  doses.  It  is  a  valuable  alterative  where  in- 
dicated. As  it  will  cause  griping  in  many  cases,  it  is 
well  to  add  hyoscyamiis  or  leptandra  to  overcome  this. 

Polymnia  Uvedalia : 

Syn. — Polymnia  ;  Bearsfoot ;  Yellow  Leaf  Cup. 

P".  E.— Root. 

N.  O. — Composite. 

N.  H.— United  States. 

Properties:  Tonic  stimulant.  Improves  nutrition  and 
increases  'waste. 

Indications :  In  glandular  enlargement  with  func- 
tional atony.  Inactivity  of  glandular  organs  with  im~ 


MATERIA    MEDICA    AND   THERAPEUTICS  I2Q 

paired  circulation.  Flabby,  full,  sodden  and  sallow  tis- 
sues. The  remedy  in  enlarged  spleen  and  liver.  In 
chronic  hepatitis,  chronic  spleenitis.  Also  of  value  in 
glandular  and  structural  hypertrophy  of  other  organs ; 
glandular  induration  and  abscess  in  scrofulous  people. 
Chronic  rheumatism,  lumbago,  myalgia  or  other  diseases 
depending  on  removal  of  waste,  are  benefitted  by  its  use. 
Increases  capillary  circulation.  It  is  our  best  remedy 
in  chronic  malaria  with  enlarged  liver  and  spleen.  In 
enlarged  glands  from  syphilis  it  is  of  value.  If  combined 
with  ceanothus  americ'anns  it  is  even  more  effective  in 
these  conditions.  Of  value  in  hypertrophy  of  the  uterus 
and  subinvolution,  and  in  dyspepsia,  the  result  of  en- 
gorgement of  the  vessels  with  a  burning  and  heavy  sen- 
sation in  the  epigastrium.  In  chronic  metritis  it  may 
be  combined  with  other  indicated  remedies.  Glycerine 
or  syrup  are  the  best  menstrums  for  the  administration 
of  polymnia. 

Polytrichum  Jtmiperinum : 

Syn. — Hair  Cap  Moss. 

P.  E.— Whole  plant. 

N.  O. — Polytrichace<e. 

N.  H.— United  States. 

Properties :  Diuretic. 

Use :  In  dropsy,  especially  cardiac  dropsy,  irritation 
of  the  bladder,  difficult  micturition  during  pregnancy. 
Excess  of  uric  and  phosphoric  acid  and  gravel.  It  causes 
a  copious  flow  of  urine,  promotes  absorption,  relieves 
pain  of  urinary  calculi  and  aids  in  preventing  the  forma- 
tion of  same.  Can  be  used  in  febrile  and  inflammatory 
diseases. 

Potassium : 

Physiological  action  :  In  large  doses  potassium  is  a 
powerful  irritant  to  the  gastrointestinal  tract  and  a 
powerful  irritant  poison  to  the  nerves  and  heart  muscles. 
Potassium  in  its  various  forms  will  suspend  functional 
activity  of  the  nerves  and  muscular  structure  of  the  body, 
the  muscles  losing  their  contractibility.  This  is  especi- 
ally noticed  in  the  heart.  It  is  very  irritating  to  mucous 
surfaces  and  therefore  should  not  be  used  in  irritation 


I3O  MATERIA   MED1CA  AND  CLINICAL  THERAPEUTICS 

of  the  gastrointestinal  tract  even  in  moderate  doses. 
Where  the  gastro  intestinal  tract  is  not  irritated,  mus- 
cular system  and  heart  are  in  good  condition  and  where 
there  is  increased  heart's  action  and  artereal  tension  the 
potassium  salts  may  be  safely  used  in  small  medicinal 
doses.  Potassium  is  not  as  readily  absorbed  on  account 
of  its  irritating  qualities  as  sodium  is  and  is  to  be  taken 
in  minute  doses  to  avoid  its  depressing  and  irritating  ef- 
fect. It  should  always  be  well  diluted  and  its  use  not 
continued  long.  Large  or  long  continued  doses  of  the 
potassium  salts  will  dissolve  red  blood  corpuscles  and 
have  a  weakening  effect  on  the  motor  ganglia  of  the 
heart,  sometimes  amounting  to  paralysis. 

Potassium  Acetate: 

Syn. — Acetate  of  Potash. 

Properties :  Diuretic. 

Use :  Acetate  of  potash  is  soluble  in  cold  water  0.36, 
in  alcohol  1.9  and  is  more  soluble  in  warm  than  cold 
fluids.  As  it  rapidly  absorbs  moisture  from  the  air  it 
must  be  kept  in  a  well  stoppered  bottle.  It  is  an  anti- 
acid  and  when  taken  into  the  system  decomposes  and 
passes  off  as  carbonate  of  potassium,  rendering  the  urine 
alkaline.  Its  main  action  in  the  system  is  to  promote 
retrograde  metabolism  in  the  whole  system  and  increase 
waste.  It  is  a  renal  depurant,  stimulating  both  secretion 
and  excretion,  greatly  increasing  the  solids  of  the  urine, 
having  but  little  influence  on  the  watery  portion  of  the 
same.  It  is  a  solvent  and  eliminator.  We  think  of  it  in 
rheumatism,  acute  articular  rheumatism,  lithsemea.  May 
be  given  in  fevers  if  indicated,  alternating  with  other 
remedies  such  as  the  case  demands.  In  muscular  rheu- 
matism it  can  be  used  to  advantage  with  cimicifuga.  In 
hepatic  congestion  it  stimulates  the  flow  of  bile.  In 
glandular  inflammation,  glandular  diseases  in  children, 
eczema  and  other  skin  diseases  it  is  a  valuable  remedy 
to  alternate  with  other  indicated  remedies.  In  gon- 
orrhoea to  neutralize  the  acidity  of  the  urine  it  is  our  best 
remedy.  It  should  not  be  given  where  there  is  a  red  and 
pointed  tongue;  nor  in  too  large  doses.  Should  always 
be  well  diluted. 


MATERIA    MEDIC. \    AM)    Tl  I  HUAPEUT1CS  13! 

Prunus  Serotina : 

Syn. — Primus  ;  Prunus  Virginica. 

P.  E. — Bark  collected  in  autumn. 

N.  O. — RosacecE. 

N.  H.— United  States. 

Properties :  Tonic,  sedative,  astringent. 

Use:  Prunus  is  largely  used  in  form  of  a  syrup  as  a 
menstrum  for  other  remedies.  Useful  in  all  atonic  condi- 
tions where  a  sedative  influence  is  desirable.  In  coughs 
with  feeble  respiratory  action  vascular  excitement  with 
excessive  perspiration,  irritable  dyspepsia,  chronic 
coughs,  pthisis  pulmonalis,  it  modifies  the  fever  and 
cough  and  helps  to  sustain  strength  of  the  patient.  Of 
value  in  diarrhoea  and  dysentery.  It  has  tonic  influence 
over  the  heart,  brain  and  general  nervous  system,  allays 
irritation  of  the  digestive  tract,  respiratory  organs  and 
has  a  soothing  influence  on  the  nervous  system.  As  its 
action  is  mild  too  much  must  not  be  expected  from  its 
administration.  In  the  form  of  a  syrup  as  a  menstrum 
it  materially  assists  the  action  of  other  remedies  when 
indicated. 

Pulsatilla  Anemone: 

Syn. — Pulsatilla;  Wind  Flower;  Pasque  Flower. 

P.  E.— Plant. 

N.  O. — Ranunculaceae. 

N.  H. — Europe. 

Properties :  Alterative,   sedative,  antispasmodic. 

Physiological  action  :  In  large  doses  it  is  an  irritant 
to  the  gastro-intestinal  tract,  depresses  the  heart's  ac- 
tion, lowers  arterial  tension  and  will  reduce  the  tempera- 
ture and  pulse  rate.  In  toxic  doses  it  causes  dullness  of 
mind,  lessens  sensibility,  having  a  mildly  paralyzing  ef- 
fect on  both  sensory  and  motor  nerves,  pupils  dilate: 
coma  and  convulsions  have  resulted  from  very  large 
doses.  However  this  drug  is  never  given  in  such  large 
doses. 

Indications:  Nervousness,  sadness,,  disposition  to 
look  on  the  dark  side  of  life.  Despondency,  mental  de- 
pression, fear  of  impending  danger.  Pain  in  top  of  head. 


132  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Use :  Relieves  nerve  irritation  of  reflex  nature  refer- 
able to  the  reproductive  organs.  It  controls  sexual  ex- 
citement in  both  male  and  female.  A  remedy  in  amen- 
orrhcea,  dysmenorrhcea,  spermatorrhoea  and  in  repro- 
ductive disorders  which  are  a  cause  of  anxiety  to  the  pa- 
tient. ^In  nervous  headache  with  determination  of  blood 
to  the  brain.  In  headache  at  menstrual  period  with 
scanty  or  obstructed  menses,  patient  pale  and  nervous. 
In  hysteria,  nervous  exhaustion  with  feeble  pulse,  defici- 
ent capillary  circulation,  cold  extremities,  nervous  head- 
ache of  anaemic  nature.  In  orchitis  it  acts  well  associated 
with  other  indicated  remedies.  A  valuable  remedy  in 
threatened  insanity  the  result  of  sexual  wrongs,  if  not 
contra-indicated.  Pain  of  pulsatilla  is  generally  limited 
in  location  and  of  a  despondent  nature. 

Punica  Granatum : 

Syn. — Granatum  ;  Pomegranate. 

P.  E. — Bark  of  roots  and  shrub. 

N.  O.— Myrtacese. 

N.  H. — Europe,  Asia  and  in  some  parts  of  the  U.  S. 

Properties:  Astringent,  anthelmintic,  cathartic  in 
large  doses. 

Use:  This  is  a  specific  for  tape  worms.  The  patient 
should  fast  for  a  day  or  so  before  starting  treatment,  then 
take  2  to  3  ounces  of  the  fresh  bark  of  the  root,  if  obtain- 
able. Macerate  in  2  pints  of  water  for  12  to  24  hours, 
then  boil  down  to  about  half.  Of  this  the  patient  should 
take  */2  to  i  ounce  every  hour  until  it  is  all  used.  As  it 
has  a  cathartic  effect  no  physic  is  required ;  however,  if 
it  should  not  act,  a  cathartic  should  be  given.  If  the 
treatment  is  not  successful  it  should  be  repeated  in  a  few 
days.  In  absence  of  the  fresh  bark  of  the  root  the  fluid 
extract  may  be  used  in  y2  to  I  drachm  doses  3  or  4  times 
a  day.  Granatum  is  used  by  many  and  with  good  re- 
sults. 

Quinine : 

Properties :  Antiperiodic. 

The  salt  obtained  from  the  bark  of  cinchona  calisaya. 
Sulphate  of  quinine  is  the  form  mostly  employed. 


MATERIA    MEDICA   AND   THERAPEUTICS  133 

Physiological  action :  Quinine  in  large  doses  has  pro- 
duced permanent  deafness  and  in  some  cases  temporary 
blindness.  In  doses  of  from  4  to  6  grains  taken  3  or  4 
times  a  day,  it  produces  very  often  engorgement  of  the 
brain,  headache,  throbbing  in  the  head,  ringing  in  the 
ears,  impairment  of  hearing,  nervous  excitement  and 
even  confusion  of  the  mind.  If  dose  is  increased  and  con- 
tinued there  will  follow  restlessness,  sleeplessness,  gen- 
eral debility,  feeble  pulse,  dilated  pupils,  coolness  of  ex- 
tremities, partial  or  complete  loss  of  voice,  hearing  and 
sight.  Large  doses,  often  repeated,  cause  disturbance  of 
the  gastro-intestinal  tract,  dizziness,  headache  and  even 
delirium.  Quinine  in  very  small  doses  is  a  tonic,  in  me- 
dium doses  a  stimulant  and  in  large  jdoses  a  depressant. 
It  acts  on  the  cerebro-spinal  nervous  system  and  on  the 
heart  through  the  ganglionic  nervous  system. 

Indications :  In  diseases  with  periodicity.  When  skin 
is  soft  and  inclined  to  moisture.  Tongue  moist  and  not 
dirty.  Full,  soft  and  open  pulse. 

Use :  In  all  conditions  where  there  is  marked  peri- 
odicity and  where  the  secretory  functions  are  in  working 
condition,  the  use  of  quinine  is  not  followed  by  any  un- 
pleasant results.  For  this  reason  in  periodical  fevers  it 
should  be  given  during  intermission  if  it  is  indicated  in 
the  case.  In  small  doses  it  stimulates;  while  in  large 
doses  it  depresses.  It  acts  on  the  cerebro-spinal  nervous 
system  and  the  ganglionic  nervous  system  of  the  heart. 
In  congestive  chills  it  should  be  given  before  the  attack 
if  possible,  and  stimulants  given  during  the  attack.  Aver- 
age dose  is  from  2  to  5  grains  every  2  to  4  hours.  In  con- 
gestive chills  8  to  15  grains  may  be  given  before  attack. 

Rheum  Officinale: 

Sy  n . — Rh  ubarb. 
1>".  K._Root. 
X.  (). — Polygonacere. 
N.  H.— Asia'. 

Properties :  Tonic,  astringent.  In  large  doses  laxa- 
tive. 

Use :   In  small  doses  it  appears  to  have  a  mild  tonic 


134  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

astringent  effect  on  the  gastrointestinal  tract.  This  ac- 
tion is  most  marked  in  the  duodenum.  In  medium  doses 
it  is  a  laxative,  while  in  very  extremely  large  doses  it 
acts  as  a  cathartic.  In  small  or  medium  doses  it  has  a 
tendency  to  bring  about  normal  conditions,  correcting 
under  or  over-activity  of  the  gastrointestinal  tract  and 
especially  so  of  the  latter.  As  it  is  a  tonic  to  the  stom- 
ach and  intestinal  tract,  we  think  of  it  in  debilitated  con- 
dition of  these  parts.  For  this  reason  it  makes  a  good 
adjunct  to  other  indicated  remedies  in  constipation,  di- 
arrhoea and  dysentery.  It  may  be  used  in  form  of  syrup 
as  a  menstrnm  for  other  remedies  in  above  conditions. 

Rhus  Aromatica: 

Syn. — Fragrant  Sumach  ;  Sweet  Sumach. 

P.  E.— Bark  of  root. 

N.  O. — Anacardiaceae. 

N.  H.— United  States. 

Properties :  Astringent,  stimulant,  diuretic,  tonic  and 
astringent  to  non  striated  muscular  fibers. 

Use :  Our  best  remedy  in  diabetes  insipidus,  where  it 
should  be  taken  in  5  drop  doses  and  gradually  increased 
to  10  to  15  drops  at  a  dose.  To  be  taken  about  4  times 
a  day.  When  the  largest  dose  admissable  has  been 
reached  this  should  be  continued  until  the  desired  re- 
sult is  obtained  when  the  dose  should  be  gradually  re- 
duced again.  Rhus  aromatica  is  also  of  value  in  diabetes 
mellitus.  In  urinary  incontinence  in  children  and  the 
aged  it  often  will  produce  satisfactory  results.  Of  value 
in  mild  cases  of  hsematuria.  It  tones  up  the  muscular 
structure  of  the  urinary  apparatus  and  is  indicated  in 
over-activity  of  the  urinary  apparatus,  in  absence  of  in- 
liammation.  In  conditions  where  most  indicated  we 
find  a  debilitated  condition,  languor,  lassitude,  loss  of 
flesh,  stool  profuse;  a  weak,  in  fact  a  debilitated  condi- 
tion. In  passive  hemorrhage  of  the  bowels  it  may  be 
used,  hemorrhage  of  bronchitis  is  benefited  by  its  use. 
Its  main  use  however  is  in  diabetes  and  emiresis.  Best 
to  dispense  in  glycerine. 


MATERIA    MEDICA    AND   THERAPEUTICS  135 

Rhus  Toxicodendron : 

Syn. — Rhus  Tox;  Poison  Oak;  Poison  Ivy. 

P.  E. — Fresh  leaves. 

N.  O. — Anacardiacse. 

N.  H. — North  America. 

Properties :  Stimulates  cutaneous  and  renal  secre- 
tions. 

Physiological  action :  Rhus  tox.  emits  its  poison  in 
the  air  around  where  it  grows  so  that  people  who  are 
susceptible  to  its  action  will  become  poisoned  without 
coming  in  contact  with  it.  When  the  plant  is  broken  or 
moist  it  will  charge  the  air  around  it  even  more. 
Handling  it  is  dangerous  to  some  while  others  can  do  so 
with  impunity.  Worst  of  all  is  to  inhale  the  fumes  of 
burning  roots,  shrubs  or  leaves.  When  the  poisonous 
action  results,  it  first  causes  severe  itching  and  burning 
which  is  followed  by  redness  and  swelling  of  the  affected 
parts.  This  inflammation  of  the  skin  may  be  in  patches 
or  spread  to  various  parts  of  the  body,  effect  usually 
lasting  about  two  weeks.  In  severe  cases  it  may  spread 
all  over  the  body,  the  affected  parts  swelling  sometimes 
to  such  an  extent  as  to  obliterate  the  features.  Vesicles 
form  which  break  and  will  leave  a  yellow  scab.  In  these 
cases  there  is  some  fever,  increased  pulse,  severe  head- 
ache, itching. and  burning,  nervous  twitching,  burning  in 
the  throat  and  mouth,  thirst,  rheumatic  pains,  which  are 
aggravated  by  heat  and  rest,  cough,  nausea,  vomiting, 
perhaps  chilliness  and  even  delirium.  If  toxic  doses  are 
taken  internally  symptoms  are  similar  to  above ;  but 
there  is  according  to  the  dose  taken  drowsiness,  stupor, 
Unshed  face,  dilated  pupils.  Pulse  which  may  have  been 
strong  will  become  small,  feeble  and  rapid;  respiration 
becomes  hurried,  nausea,  vomiting,  delirium  and  even 
convulsions  result.  It  relieves  cerebral  engorgement  by 
increasing  the  tone  of  the  arteries.  In  small  doses  it 
tones  the  weakened  brain,  acting  as  a  sedative.  Its  ef- 
fect is  most  pronounced  on  'the  terminal  nerve  filaments, 
increasing  their  function.  In  large  doses  overstimulation 
results,  followed  by  relaxation  if  carried  too  far. 

Indications:  Sharp,  hard  pulse;  sharp  burning  pain, 


136  MATKRIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

burning  pain  in  frontal  region,  especially  over  left  orbit ; 
tongue  showing  small  red  points  on  upper  surface  of  tip ; 
cough  with  burning  pain  in  chest;  restlessness,  starting 
and  crying  out  during  sleep.  Extreme  redness  of  local 
part  with  sharp,  burning  pain.  Itching  and  tingling  in 
the  skin.  In  fact  burning  pain  is  a  prominent  indication. 
Use:  In  fevers,  inflammation  and  any  condition 
where  indicated.  Its  action  is  on  the  nerve  centers,  pro- 
ducing functional  activity  of  the  terminal  nerve  filaments. 
It  relieves  cerebral  engorgement  by  giving  tone  to  the 
arteries.  In  small  doses  it  acts  as  a  sedative  to  the  ir- 
ritable and  often  overworked  brain,  improving  its  func- 
tion and  tone.  We  think  of  it  in  erysipelas,  eczema,  ty- 
phoid fever,  cerebro-spinal  meningitis,  cerebral  irritation ; 
in  scarlet  fever,  measles,  smallpox,  gastric  and  intes- 
tinal irritation,  especially  if  accompanied  by  restlessness ; 
spasms  in  children  the  result  of  cerebral  engorgement. 
In  rheumatism  of  the  chronic  or  subacute  form  where 
the  white  fibrous  tissue  is  involved,  therefore  pain  more 
severe  when  at  rest,  it  is  of  value.  In  cholera  morbus, 
cholera  infantum  in  which  there  are  pronounced  head 
symptoms  it  is  of  value,  if  associated  with -other  indicated 
remedies.  We  find  it  very  useful  in  many  conditions  of 
gastric  irritation.  In  swelling  of  submaxillary  glands 
when  there  is  induration  it  has  been  used  with  success. 
Rhus  tox.  is  a  valuable  remedy  when  indicated. 

Salix  Nigra  Aments : 

Syn. — Black  Willow;  Pussywillow. 

N.  O. — Salicacese. 

N.  H. — North  America. 

P.  E—  Buds. 

Properties :  Sexual  sedative,  slightly  laxative. 

Use :  Has  a  sedative  influence  over  undue  sexual  ex- 
citement, if  caused  by  local  irritation.  Will  relieve  sper- 
matorrhoea, nymphomania,  sexual  hyperaesthesia,  if  de- 
pendent upon  above  or  similar  causes.  If  more  of  the 
brain  or  mind  it  should  be  alternated  with  the  proper  in- 
dicated remedies.  A  good  remedy  in  ovarian  congestion 
and  irritation  and  some  forms  of  hysteria  and  its  mani- 
festations the  result  of  irritation.  Relieves  cystitis,  ovar- 


MATERIA    MEDICA   AND   THERAPEUTICS  137 

itis,  prostatitis  and  is  a   valubale   remedy  in   nocturnal 
emissions. 

Sanguinaria  Canadensis : 

Syn. — Sanguinaria;  Blood  Root. 

P.  E. — Rhizome. 

N.  O. — rPapaveracese. 

N.  H. — United  States  and  Canada. 

Properties :  Stimulant,   tonic,   emmenagogue,   emetic. 

Physiological  action :  In  large  doses  it  will  produce 
irritation  and  inflammation  of  the  gastro-intestinal  tract, 
resulting  in  thirst,  nausea,  dilated  pupils,  coldness  of 
extremities,  deminished  pulse,  cold  sweats  and  prostra- 
tion. The  anxious  expression  in  the  face  that  is  present 
in  severe  affections  of  the  gastro-intestinal  tract  is  not 
lacking  here.  In  toxic  doses  it  will  paralyze  the  vaso- 
motor  centers  by  overstimulation. 

Indications :  In  relaxed  condition  of  the  larynx, 
pharynx  and  bronchi,  with  a  sense  of  constriction,  burn- 
ing, uneasiness,  tickling  or  dryness  of  throat.  Nasal 
catarrh  with  little  or  no  discharge.  Harsh,  dry  cough 
with  relaxed  tissue. 

Use :  In  small  doses  it  is  a  stimulant  to  the  spinal 
and  sympathetic  ganglia.  Has  a  stimulating  effect  on 
the  mucous  surfaces  of  the  bronchi,  and  to  a  less  degree 
on  the  stomach  and  intestinal  tract.  We  think  of  it 
when  there  is  either  a  deficiency  or  excess  of  secretion 
from  atony  of  the  mucous  membranes  of  the  parts.  It 
stimulates  the  sympathetic  nervous  system,  improving 
nutrition  and  secretion.  Has  also  an  alterative  effect  on 
the  blood,  stimulates  the  liver  and  portal  circulation, 
glandular  organs  and  intestinal  tract.  It  increases  pelvic 
circulation,  especially  in  females.  As  an  emmenagogue 
it  is  of  value  where  there  is  fullness  of  circulation.  It 
favors absorbtion  of  exudates  and  improves  the  functional 
activity  of  the  lungs.  One  of  our  best  remedies  in  stub- 
born coughs  the  result  of  bronchial  or  tracheal  irritation, 
bronchial  coughs,  membranous  and  spasmodic  croup, 
coughs  and  colds.  In  pneumonia  if  combined  with  lo- 
belia it  is  a  useful  remedy.  Sanguinaria  is  of  value  in 
diphtheria  both  locally  and  internally,  but  in  this  disease 


138  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

the  nitrate  of  sanguinaria  in  the  5th  or  6th  trituration  is 
one  of  our  best  remedies  and  should  be  given  internally 
in  i  to  3  grain  doses  every  }/2  to  2  hours.  The  2nd  tri- 
turation 5  to  x  grains  in  2  ounces  of  syrup  and  vinegar 
is  a  very  good  form  to  give  sanguinaria  nitrate,  ^  to  i 
teaspoonful  doses  every  y2  to  3  hours.  In  most  condi- 
tions the  nitrate  of  sanguinaria  is  to  be  preferred. 

Scutellaria  Lateriflora : 

.  Syn  :  Scutellaria  ;  Skullcap. 

P.  E.— Whole  plant. 

N.  O.— Labiate. 

N.  H.— United  States. 

Properties :  Tonic,  nervine,  antispasmodic. 

Use :  In  nervousness  with  fear  of  calamity  it  has  a 
direct  influence  upon  the  cerebro-spinal  centers,  controll- 
ing irritation.  Is  of  use  in  irritable  condition  of  the  nerv- 
ous system.  We  think  of  it  in  conditions,  the  result  of 
above,  such  as  insomnia,  irregular  action  of  the  muscles, 
chorea  and  paralysis  agitans.  In  the  first  it  is  especially 
valuable  if  combined  with  cimicifuga.  Of  use  in  organic 
heart  trouble  with  nervousness  and  palpitation.  It  is 
also  of  value  in  spasmodic  affections  of  women. 

Secale  Cornutum : 

Syn. — Ergot;  Ergot  of  Rye;  Spurred  Rye. 

P.  E. — The  sclerotium  of  claviceps  purpurea. 

N.  O. — Fungi. 

N.  H. — On  rye  in  all  countries. 

Properties :  Uterine  motor  stimulant,  haemostatic. 

Physiological  action  :  Ergot  is  a  motor  excitant  and 
a  haemostatic.  Its  influence  is  on  the  spinal  cord  circula- 
tion and  unstriped  muscular  fibers,  especially  those  of  the 
uterus.  It  will  cause  tonic  contraction  of  unstriped  mus- 
cular fibers  and  produce  artificial  anaemia.  Ergot  may 
cause  both  acute  and  chronic  poisoning.  In  the  acute 
form  it  produces  marked  gastro-intestinal  irritation,  caus- 
ing nausea,  vomiting,  dizziness,  drowsiness,  dyspnoea, 
purging,  dryness  of  throat,  thirst,  difficult  micturation. 
Arterial  tension  is  raised  greatly,  pupils  dilated,  confu- 
sion of  senses,  pallor,  headache,  constriction  of  the 


MATERTA    MEDICA    AND   THERAPEUTICS  139 

sphincter  vesical  and  tonic  contraction  of  the  unstriped 
muscular  fibers  and  especially  so  of  the  uterus  result. 
There  is  pain  in  the  chest  and  loins,  cerebral  anaemia, 
coldness  of  skin,  anaesthesia,  tetanic  spasms  and  convul- 
sions. In  the  chronic  form  there  are  neuralgic  pains, 
numbness  and  coldness  of  limbs,  formication  of  the  skin, 
there  may  be  delirium  followed  by  exhaustion,  convul- 
sion or  coma  and  death.  In  other  forms  the  nutrition  is 
cut  off  from  some  parts  of  the  body  by  the  excessive 
contraction  of  capillaries,  especially  of  the  lower  limbs, 
resulting  in  muscular  weakness,  gangrene  of  limbs  or 
the  superficial  parts.  This  form  generally  results  fa- 
tally. 

Use :  As  a  parturient  its  action  is  upon  the  un- 
striped muscular  structure  of  the  uterus,  producing 
powerful  and  persistent  contraction ;  contracting  the  ar- 
terioles  and  consequently  causing  anaemia  of  the  organ. 
On  account  of  its  irritating  effect  on  the  muscular  fibril- 
lae,  causing  immediate  contraction,  it  is  our  most  active 
remedy  for  overcoming  uterine  inertia  and  hemorrhage. 
It  can  safely  be  used  when  there  is  fullness  of  circulation 
in  the  head,  which  manifests  itself  by  flushed  face,  bright 
eyes,  great  restlessness  and  headache.  Ergot  should 
only  be  used  after  the  first  stage  in  labor  and  only  then ; 
if  the  os  uteri  is  fully  dilated ;  where  there  is  uterine 
inertia  or  muscular  relaxation.  It  should  never  be  used 
in  labor  where  there  is  malpresentation,  or  any  obstruc- 
tion to  the  free  delivery  of  the  child,  nor  where  the  os 
uteri  is  hard  and  rigid  with  excessive  debility,  or  in  the 
first  stage.  If  the  parts  are  very  dry  it  should  not  be 
used,  nor  if  the  os  uteri  is  not  fully  dilated.  As  contrac- 
tions produced  by  ergot  are  not  regular-  but  tonic  and 
profound  it  should  not  be  given  where  it  is  contra-indi- 
cated ;  as  by  its  powerful  and  continued  pressure  on  the 
child  laceration  of  the  cervix  uteri  generally  results  as 
well  as  laceration  of  the  perineum.  It  will  also  impair 
the  circulation  of  the  child  by  the  continual  and  profound 
pressure.  This  sometimes  results  in  cyanosis  and  even 
death  of  the  child.  Such  continuous  and  powerful  action 
on  the  muscles  of  the  uterus  may  Cause  paralysis  of  the 
organ  and  thus  cause  post-partum  hemorrhage:  Its  con- 


I4O  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

tinuous  profound  action  will  certainly  cause  impairment 
of  the  organ  in  all  cases,  sub-involution  often  being  the 
result.  For  these  reasons  ergot  should  be  used  with  care 
and  only  when  indicated.  In  threatened  post-partum 
hemorrhage ;  a  full  dose  of  ergot  may  be  given  in  the 
latter  part  of  the  second  stage  and  repeated  later  on  if 
necessary.  The  dose  is  from  y2  to  I  teaspoonful.  In 
post-partum  hemorrhage  it  is  one  of  our  best  remedies. 
To  control  hemorrhage  in  any  form  ergot  is  a  valuable 
remedy.  As  it  contracts  the  walls  of  the  arterioles  thus 
restraining  the  supply  of  blood  to  the  open  vessels,  it  is 
a  valuable  remedy  in  both  active  and  passive  hemor- 
rhages. It  acts,  however,  more  powerfully  upon  the  ar- 
terial coats  than  those  of  the  veins.  Ergot  is  a  good 
remedy  where  indicated,  but  is  very  dangerous  if  contra- 
indicated,  or  if  its  profound  action  is  carried  too  far,  or 
continued  too  long,  as  then  by  overstimulation  the  circu- 
lation in  the  parts  is  almost  if  not  entirely  checked ;  the 
muscles  lose  their  power  and  paralysis  of  the  parts  may 
result. 

Senecio  Aureus: 

Syn. — Senecio;  Life  Root. 

P.  E.— Whole  plant. 

N.  O. — Compositse. 

N.  H.-— United  States. 

Properties :  Tonic,  diuretic,  diaphoretic. 

Use :  Its  special  action  is  on  the  reproductive  organs 
of  both  sexes,  but  especially  of  the  female.  A  tonic  to 
the  nervous  and  muscular  structure  of  the  reproductive 
organs  of  the  female,  with  a  tendency  to  bring  about 
normal  action  and  therefore  applicable  alike  in  amen- 
orrhoea,  metrorrhagia,  menorrha^ia  or  dysmenorrhoea. 
We  think  of  it  in  a  relaxed  condition  of  the  uterus  and 
its  appendages,  relaxed  condition  of  the  support  of  the 
uterus  resulting  in  displacements.  In  hypersemia,  atonic 
or  irritable  condition  of  the  pelvic  organs.  Regulates 
the  periodical  discharge.  Irregularity  with  pain  and  weak- 
ness in  the  pelvic  region,  headache  in  top  or  back  of 
head.  Pain  worse  at  menstrual  period.  Of  value  in 
capillary  hemorrhage,  hsematuria  in  large  doses,  albumin- 


MATERTA    MEDICA   AND   THERAPEUTICS  14! 

uria,  especially  during  pregnancy,  leucorrhcea,  chlorosis. 
Of  value  in  engorged  atonic  condition  of  the  sexual  or- 
gans of  the  male,  increasing  functional  activity  of  these 
as  well  as  overcoming  irritation  of  urinary  apparatus. 
Its  action  is  slow  and  it  must  be  continued  for  some  time 
for  good  results. 

Serenoa  Serrulata: 

Syn. — Saw  Palmetto  ;  Sabal  Serrulata. 

P.  E.— Fresh  fruit. 

N.  O.— Palmacse. 

N.  H.— Southern  United  States. 

Properties :  Tonic,  sedative,  diuretic,  improves  di- 
gestion and  nutrition. 

Use:  A  tonic  stimulating  the  nutrition  of  the  nerve 
centers.  Relieves  irritability  of  the  nervous  system, 
mucous  structures  and  more  particularly  of  the  nose  and 
air  passages.  It  stimulates  digestion  and  assimilation. 
Women  who  have  a  dragging  pain  in  the  iliac  region, 
sensitiveness  to  touch  over  the  ovaries,  ovarian  enlarge- 
ment with  tenderness  and  dull  aching  pain,  small  and 
undeveloped  mammae,  hypertrophy  of  the  uterus  are 
benefited  by  its  use  if  continued  for  some  time.  We  think 
of  it  in  enlarged  prostate,  atrophy  of  the  testes  or  uterus 
and  all  prostatic  troubles.  In  impotency  of  young  men 
it  is  a  valuable  adjunct  to  other  indicated  remedies.  Has 
a  direct  influence  upon  the  glands  of  the  reproductive 
system,  as  mammae,  ovaries,  prostate,  testes,  etc.,  in- 
creasing their  functional  activity  and  tending  to  bring 
about  normal  action  and  size.  In  nervous  and  general 
debility.  In  chronic  catarrh,  laryngitis,  coughs,  aphonia, 
whooping  cough,  chronic  catarrh,  bronchitis,  etc.,  it  is 
a  valuable  adjunct  to  other  indicated  remedies. 

Serpentaria  Aristolochia : 

Syn. — Serpentaria ;  Virginia  Snake  Root. 

P.  E.— Roots. 

N.  O. — Aristolochiacese. 

N.  H.— United  States. 

Properties:  Diaphoretic,  stimulant. 

Use :  It  acts  as  a  stimulant  to  the  vascular  system, 


142  MATERTA  MEDLCA  AND  CLINICAL  THERAPEUTICS 

promoting  secretion  from  skin  and  mucous  membrane, 
increases  the  strength  and  frequency  of  the  pulse  and 
for  that  reason  is  a  valuable  adjunct  to  other  indicated 
remedies  in  the  atonic  stage  of  scarlet  fever,  measles, 
typhoid  fever,  diphtheria,  pneumonia  and  bronchitis, 
promoting  elimination.  As  it  is  diaphoretic  it  will  hasten 
the  eruption  in  eruptive  fevers  or  cause  their  reappear- 
ance if  retrocession  has  taken  place.  In  fevers  where 
there  is  marked  atony  and  persistent  suppression  of  the 
secretions,  it  can  be  used  where  other  depressing  diaph- 
oretics would  be  counter  indicated. 

Sodium : 

The  sodium  salts  are  strong  alkalies,  much  more  al- 
kaline than  the  potassium  salts;  are  less  depressing  than 
the  latter  and  not  as  poisonous  to  the  nerves  and  heart 
muscles.  They  are  absorbed  slowly  and  eliminated 
slowly.  Soda  diluted  renders  the  blood  more  alkaline. 
Taken  in  large  doses,  not  well  diluted,  or  for  a  long  time, 
it  will  destroy  the  red  blood  corpuscles  and  act  as  an  ir- 
ritant to  the  gastrointestinal  tract.  This  shows  that 
large  doses,  not  well  diluted,  or  its  use  continued  a  long 
time,  will  increase  acid  conditions  by  irritation  ;  while 
minute  doses  well  diluted  taken  for  a  short  time  may 
decrease  acidity. 

Sodium  Bicarbonate : 

Syn.— Bicarbonate  of  Soda  ;  Baking  Soda. 

Properties :  Anti-acid. 

Sodium  bicarbonate  dissolves  at  59°  F.,  in  water 
at  11.3  and  above  this  point  it  looses  C  O  2  and  at  212° 
F.,  it  leaves  only  carbonate  of  sodium.  In  moisture  it 
gradually  decomposes,  while  if  kept  dry  it  \vill  remain 
intact.  Therefore  keep  well  corked  and  dispense  only  in 
cold  water. 

Indications :  Broad,  pallid  tongue,  with  want  of 
color,  showing  an  excess  of  acid  and  a  lack  of  alkaline 
elements.  However  it  must  be  understood  that  a  lack 
of  alkaline  elements  does  not  always  call  for  bicarbonate 
of  soda,  but  very  often  for  stimulation  of  the  alkaline 
secreting  organs. 


MATKKIA     MKDICA     AND    THERAPEUTICS  143 

Use :  A  mild  anti-acid  temporarily  increasing  the  al- 
kalinity of  the  blood.  Taken  in  large  doses,  not  well  di- 
luted or  for  any  length  of  time,  and  if  taken  when  contra- 
indicated,  it  often  causes  an  incurable  form  of  dyspepsia. 
Sodium  bicarbonate  may  be  used  temporarily',  if  indi- 
cated, in  hyperacidity  of  the  stomach,  due  to  fermenta- 
tion ;  diarrhoea  with  green,  sour  discharge  or  marked  acid 
reaction.  In  flatulent  colic,  result  of  acid  condition  of 
the  stomach,  sick  headache  from  sour  stomach.  In  fevers 
where  system  is  in  acid  condition  it  is  of  great  value  in- 
ternally and  locally.  Applied  locally  it  is  of  value  in 
burns  and  rhus.  tox.  poisoning,  either  dry  or  in  solution. 

Sodium  Phosphate : 

Syn. — Phosphate  of  Sodium. 

Properties :  Anti-acid,  laxative,  hepatic. 

Use:  Of  special  value  in  infants  and  small  children 
with  the  following  indications,  viz. :  pasty  white,  often 
hard  stool,  which  may  be  of  a  spongy  nature  and  so  light 
in  weight  that  it  will  sometimes  float  in  water.  There 
is  general  malaise,  loss  of  appetite,  mucous  membrane 
pale,  child  is  dull,  restless,  muscles  feel  sore,  temperature 
may  be  subnormal  or  slightly  elevated.  There  may  be 
excess  of  phosphates  in  the  urine  on  'account  of  the  phos- 
phates supplying  nutrition  to  the  bony  system  not  being 
absorbed,  they  passing  off  as  waste  material.  Gradual  or 
rapid  emaciation  may  result.  In  all  these  conditions 
there  is  a  deficiency  of  red  blood  corpuscles  in  the  system 
and  a  deficient  secretion  of  bile.  These  symptoms  are 
often  the  forerunners  of  rickets,  necrosis,  caries  of  the 
bones  and  by  the  use  of  this  remedy  may  be  aborted. 
Will  often  cure  hepatic  colic.  Of  value  in  catarrh  of  the 
bile  ducts.  In  small  doses  it  is  a  good  laxative  if  indi- 
cated. Large  doses  act  as  a  cathartic  and  are  apt  to  cause 
griping. 

Sodium  Sulphite : 

Properties :  Anti-acid,  antiseptic. 

Soluble  in  cold  water  4  parts ;  in  boiling  water  i  part. 
Must  be  kept  in  a  cool  place  well  corked;  because  if  ex- 


144  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

posed  to  the  air  it  will  absorb  oxygen  and  gradually 
change  to  sodium  sulphate. 

Indications :  Pallid  mucous  membrane  and  tissues, 
broad,  dirty  pasty  white  coated  tongue. 

Use:  It  is  a  mild  antiseptic  and  deodorant.  \Yill  con- 
trol fermentation  in  gastro-intestinal  tract.  In  septic 
conditions  calling  for  alkalies  with  above  indications  it 
is  of  value.  We  think  of  it  in  typhoid,  smallpox,  erysip- 
elas, fermentive  dyspepsia,  apthous  condition  of  the 
mouth  due  to  parasites.  In  chronic  skin  diseases,  herpes 
or  any  condition  where  indicated. 

Spigelia  Marilandica : 

Syn. — Spigelia;  Maryland  Pink. 

P.  E. — Roots;  also  the  rhizome. 

N.  O. — Loganiacese. 

N.  H.— United  States. 

Properties :  Anthelmintic. 

Use:  This  is  claimed  to  be  a  specific  for  the  removal 
of  worms  from  the  intestinal  tract.  Diet  should  be  light- 
while  it  is  used.  The  fluid  extract  is  what  is  generally 
given;  the  dose  being  20  to  30  drops  in  proper  menstrum 
y2  to  i  hour  before  breakfast  and  before  retiring,  to  be 
continued  for  2  to  3  days,  when  it  is  followed  by  a  good 
non-irritating  physic.  It  appears  to  be  our  best  remedy 
for  the  removal  of  lumbricoides  from  the  intestinal  tract. 
They  may  be  expelled  as  a  slimy  mass  or  in  parts.  In 
overdoses  it  has  a  narcotic  effect  which  may  be  aborted 
by  combining  it  with  some  cathartic. 

Staphisagria : 

Syn. — Stavesacre;  Delphinum  Staphisagria. 

P.  E.— Seeds. 

N.  O. — Ranunculacse. 

N.  H. — Europe. 

Properties :  Cathartic,  emetic,  narcotic.  Externally 
parasiticide. 

Physiological  action  :  If  taken  in  large  closes  inter- 
nally it  causes  vomiting  and  purging,  acting  as  a  local  ir- 
ritant. In  poisonous  doses  it  will  first  contract  pupils, 
then  dilate  them,  showing  its  stimulating  effect  on  the 


MATERIA    MEDICA    AND   THERAPEUTICS  145 

centers,  followed  by  depression  and  paralysis,  convul- 
sions and  general  loss  of  motion  and  sensation ;  respira- 
tion is  decreased,  heart's  action  is  lessened  and  paralysis 
of  the  spinal  cord  and  asphyxia  finally  cause  death. 

Use:  Staphisagria  has  a  stimulating  and  tonic  in- 
fluence on  the  central  nervous  system.  Useful  in  sexual 
disorders  accompanied  by  melancholy,  hypochondria,  or 
hysteria,  especially  if  attended  by  violent  outbursts  of 
passion.  Relieves  nocturnal  seminal  emissions,  irritation 
of  the  prostate  gland  and  testicles ;  overcomes  im potency 
and  arrests  excessive  mucous  or  muco-purulent  discharges 
from  the  urethra.  In  some  cases  of  pruritus  in  the  fe- 
male it  is  of  benefit.  Of  value  in  old  standing  cases  of 
gleet  and  dysuria.  Externally  applied  diluted  with  co- 
logne it  is  our  best  remedy  for  pediculse  pubis  and  cap- 
itis.  This  is  much  more  pleasant  than  the  old  way  of 
treatment  and  less  dangerous. 

Sticta  Pulmonaria : 

Syn. — Sticta ;  Lungwort. 

P.  E.— Lichen. 

N.  O. — Lichenes  parmelacese. 

N.  H.— United  States. 

Properties :  Sedative,  demulcent. 

Indications :  Pain  in  shoulders  extending  to  back  of 
neck  and  occiput.  Sharp  pain  beneath  the  scapulae  or  in 
shoulders.  Cough  short  and  hacking. 

Use :  The  influence  of  this  remedy  is  on  irritations 
of  the  chest,  especially  when  complicated  with  irritation 
of  the  nerve  centers.  We  think  of  it  in  chronic  coughs 
of  a  short,  hacking  nature,  rheumatism  where  indicated. 
Hay  fever  and  influenza  in  which  there  is  an  irritating 
hot  watery  mucous  discharge  which  may  become  thick 
and  even  purulent.  In  catarrhal  troubles  in  which  there 
is  headache,  tearing  pain  through  side  of  face,  with  pres- 
sure at  root  of  nose,  coryza,  sneezing,  conjunctivitis  and 
a  dull  pain  and  soreness  in  the  chest. 

Stigmata  Maydis: 
Syn. — Corn  Silk. 
P.  E. — Green  pistils  or  stigmata. 
N.  O. — Graminacese. 


146  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

N.   H. — Temperate   zones. 

Properties :  Diuretic,  demulcent. 

Use :  Useful  in  uric  acid  and  phosphatic  gravel.  We 
also  think  of  it  in  cystitis,  retention  of  urine,  vesical 
catarrh,  oedema  due  to  weak  heart  and  in  cases  where 
an  excess  of  urates  and  phosphates  is  excreted  with  the 
urine.  It  has  a  soothing  effect  on  the  whole  urinary 
tract.  As  it  is  only  mildly  demulcent  and  diuretic  it  is 
not  active  enough  where  powerful  remedies  are  required, 
but  it  is  a  valuable  adjunct  in  such  cases. 

Stillingia  Sylvatica : 

Syn. — Stillingia  ;  Queen's  Delight. 

P.  E. — Fresh  root. 

N.  O. — EuDhorbiacere. 

N.  H.— United  States. 

Properties:  Alterative,  stimulant,  in  large  doses  ca- 
thartic, emetic. 

Indications:  When  throat  is  tumid,  red,  glistening 
membrane  with  scanty  secretion.  In  skin  diseases  of 
moist  nature,  red  and  irritable. 

Use:  In  chronic  sore  throat,  in  oziena  and  laryngitis, 
In  irritation  of  the  mucous  membrane  of  the  larynx, 
pharynx,  bronchi  and  throat  with  deficient  secretion.  (  )f 
value  in  bronchial  cough  of  a  croupy  nature  and  little  or 
no  secretion.  In  syphilis  and  strumous  conditions  it  is 
of  great  value.  It  must  however  be  prepared  from  the 
fresh  root  as  the  dry  root  is  inert. 

Stramonium  Datura: 

Svn. — Jamestown  weed. 

P.  E. — Seeds  and  leaves. 

N.  O. — Solanacese. 

N.  H. — America,  Europe,  Asia. 

Properties:  Anodyne,  antispasmodic,  deliriant,  nar- 
cotic; also  a  mydriatic. 

Physiological  action :  Stramonium  is  a  direct  stimu- 
lant to  nerve  force,  especially  of  the  sympathetic  nervous 
system.  In  overdoses  it  first  stimulates  the  vaso-motor 
centers,  and  then  paralyzes  them.  In  large  doses  it  in- 
creases strength  and  rate  of  pulse,  causes  vertigo,  nausea, 


MATERIA    MEDICA    AND   THERAPEUTICS  147 

dry  throat,  followed  by  thirst,  dilatation  of  pupils,  voice 
is  impaired,  secretion  of  urine  increased.  In  toxic  doses 
there  is  hallucination  which  may  be  of  a  merry  or  vio- 
lent nature.  There  is  a  flushed  face,  injected  eyesj  pupils 
are  dilated,  perversion  of  sight  follows  in  which  every- 
thing may  appear  reddish  or  greenish.  The  action  of 
stramonium  is  similar  to  that  of  belladonna  and  here,  too, 
we  have  the  characteristic  rash  of  the  latter.  Stupor  fol- 
lowed by  coma,  and  in  severe  cases  convulsions  and 
death  follow. 

Use :  In  hysterical  or  excitable  mania,  tendencies  to 
violent  and  perhaps  uncontrollable  reflex  muscular 
trembling.  In  headache,  nausea  or  vertigo  the  result  of 
disordered  stomach ;  indigestion  of  chronic  nature,  or 
excessive  acid  conditions  of  the  stomach  it  is  of  value. 
In  patients  that  are  full  blooded  and  who  have. a  tendency 
to  determination  of  blood  to  the  head  it  is  not  the  rem- 
edy. A  valuable  remedy  in  opium  habit  if  alternated 
with  avena  sativa. 

Strophantus  Hispidus : 

Syn. — Strophantus. 

P.  E. — Mature  seed. 

N.  O. — Apocynaceie. 

N.  H. — In  the  tropical  regions. 

Properties :     Cardiac  tonic. 

Physiological  action  :  Its  action  is  upon  the  muscular 
tissues,  it  is  claimed  by  direct  contact  of  the  drug  through 
the  blood.  As  more  blood  passes  in  a  given  time  through 
the  heart  than  through  any  other  part  of  the  body  it  ap- 
pears reasonable  that  it  should  have  a  much  more  power- 
ful action  on  the  muscular  structure  of  this  organ.  It 
acts  powerfully  on  all  striped  muscles,  increasing  their 
contractile  power  and  in  toxic  doses  it  is  the  only  heart 
poison  that  will  paralyze  the  heart  in  systole.  It  para- 
lyzes muscular  tissue,  striated  and  non-striated,  and  once 
the  contractility  is  destroyed  no  stimulus  will  again  ex- 
cite it.  It  does  not  influence  the  vaso-motor  constrictors. 
Given  in  small  doses  arterial  tension  is  increased,  the 
pulse  becoming  stronger  and  slower.  In  toxic  doses  sys- 
tolic contractions  become  very  brief  and  frequent,  and 


148  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

death  finally  results.  Respiration  continues  after  heart 
has  ceased  to  beat.  In  physiological  conditions  its  di- 
uretic effect  is  not  certain  ;  while  in  pathological  condi- 
tions the .  pulse  will  become  much  stronger  and  more 
regular  and  less  frequent.  In  pathological  conditions  it 
promotes  diuresis  and  removes  dropsical  effusions,  by 
stimulating  the  heart  muscles,  thus  increasing  the  blood 
pressure  in  the  kidneys. 

Indications:  In  any  irregularity  of  the  heart's  action, 
frequent  and  feeble  cardiac  contraction,  tremulous  pulse, 
caused  by  muscular  weakness  and  lack  of  contractile 
power  of  the  heart. 

Use :  In  small  doses  it  increases  arterial  tension.  Its 
action  is  not  well  understood ;  but  it  seems  to  have  an 
irritating  influence  directly  on  the  muscles  of  the  heart, 
perhaps  by-  contact  through  the  circulation  as  stated  be- 
fore. It  increases  the  blood  pressure  in  the  kidneys, 
through  its  action  on  the  heart  muscles.  Acts  on  the  cap- 
illary circulation  and  the  secreting  and  exqreting  func- 
tions of  the  kidneys.  Thus  we  can  explain  its  diuretic 
effect.  Strophantus  does  not  accumulate  in  the  system 
as  digitalis  does.  We  think  of  it  in  disturbance  of  com- 
pensation, fatty  degeneration  of  the  heart,  exophthalmic 
goitre,  cholera,  to  stimulate  the  heart's  action;  in  pre- 
cordial  pain,  palpitation,  dyspnoea,  and  valvular  diseases 
with  regurgitation.  It  is  a  diuretic  and  therefore  useful 
in  Bright's  disease,  anasarca  and  oedema.  Good  in  grad- 
ual heart  failure,  especially  in  the  aged.  Acts  well  in 
pain  resembling  those  of  angina,  in  which  dyspnoea  is 
marked.  Useful  in  some  cases  of  asthma  and  whooping- 
cough.  For  weak  heart  in  children  it  is  a  good  remedy. 

Sulphur : 

Symbol. — S. 

Preparations. — Precipitated  sulphur,  flower  of  sul- 
phur and  sulphur  lotum  or  washed  sulphur. 

Properties :  Antiseptic,  parasiticide  and  laxative. 

Physiological  action :  If  given  in  large  doses  breath 
will  have  the  odor  of  sulphur  and  it  will  also  be  excreted 
through  the  pores  with  prespiration  staining  the  under- 
wear yellow.  If  used  for  some  time  it  will  produce  gen- 


MATERIA    MEDICA   AND   THERAPEUTICS  T4Q 

eral  muscular  weakness,  anaemia  and  impair  the  blood 
in  general.  May  also  produce  eruptions  of  the  skin,  ec- 
zema, etc.,  if  used  too  long. 

Indications:  A  change  or  want  of  pigment  of  skin 
and  hair.  Dirty,  sallow,  brownish  skin  with  bluish  urine. 
Rapid  loss  of  color  in  hair  may  indicate  sulphur.  Per- 
sistent cough,  mucous  rales,  sputum  tough  and  hard  to 
raise  if  accompanied  by  foregoing  indications  or  some 
of  them.  In  cramps  in  calf  of  legs,  especially  after  going 
to  bed,  in  old  and  middle  aged  women.  For  internal  use 
the  trituration  of  sulphur  lotum  is  preferable.  . 

Use :  In  dyspepsia  of  scrofulous  persons,  with  bad 
breath  and  bad  taste,  and  a  feeling  of  fullness  in  the 
stomach  after  meals.  As  a  laxative  it  is  useful  in  cases 
where  there  is  deficient  intestinal  secretion  with  hard 
and  impacted  faeces.  Of  use  in  rectal  ulcers,  fissures  and 
hemorrhoids.  A  good  remedy  in  many  skin  diseases  if 
indicated.  In  scabies  it  is  our  best  remedy.  In  many 
cases  of  anaemic  condition  it  is  indicated.  Where  iron 
has  not  the  desired  effect  use  sulphur  or  both.  Sulphur, 
iron  and  lime  assist  to  make  red  blood  corpuscles ;  if  sul- 
phur is  lacking,  iron  will  not  relieve  anaemic  conditions. 
In  falling  out  of  hair  it  will  often  act  promptly,  especi- 
ally if  alternated  with  silica.  In  sterility  with  cutaneous 
eruptions  and  where  there  is  no  congenital  or  organic 
cause  it  acts  well.  In  case  where  iron  is  needed  but  de- 
sired effects  not  obtained  if  alternated  with  small  doses 
of  sulphur  happy  results  are  often  obtained.  The  aver- 
age dose  is  about  2  to  5  grains  of  the  1st  trituration  I  to 
3  times  a  day. 

Thuja  Occidentalis : 

Syn. — White  Cedar;  Arbor  Vitae. 

P.  E. — Small  twigs  and  leaves. 

X.  O. — Con i ferae. 

X.  H. — United  States  and  Canada. 

Properties :  Anodyne,  antiseptic,  alterative,  astrin- 
gent, tonic. 

Use :  Locally  and  internally  it  is  of  value  in  gan- 
grenous ulcers,  acute  venous  gangrene,  senile  gangrene, 
nasal  polypus  and  scaly  skin  diseases,  in  which  cases 


I5O  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

a  25  to  50%  solution  of  the  tincture  may  be  used  locally. 
As  a  hypodermic  injection  in  hydrocele  a  25  to  50% 
solution  may  be  injected  after  the  fluid  has  been  drawn 
off.  Then  manipulate  the  scrotum  so  as  to  bring  all  the 
internal  surface  in  touch  with  drug.  In  hernia  and  hem- 
orrhoids a  25  to  50%  solution  may  be  injected.  Having 
a  special  influence  on  epithelial  cells,  it  is  of  some  value 
in  warts,  epithelioma,  condylomata  and  goitre,  both  lo- 
cally and  internally.  Of  value  in  incontinence  of  urine 
in  children  and  old  people,  the  result  of  atony  and  re- 
laxed condition  of  the  bladder  and  urinary  apparatus. 
In  enuresis  caused  by  enlarged  prostate  gland.  In  sper- 
matorrhoea the  result  of  masturbation  or  over-indulgence, 
especially  if  there  is  depression  of  the  mind  in  these 
cases.  May  often  be  combined  in  these  conditions  with 
staphisagria,  saw  palmetto  or  avena  sativa  to  great  ad- 
vantage. Bed  sore  or  other  sores  which  fail  to  heal  on 
account  of  local  nerve  exhaustion  are  much  benefited  by 
the  application  of  thuja;  in  these  cases  use  a  25  to  50% 
solution  of  the  tincture.  Dose,  internally  from  3  to  10 
drops  of  the  tincture  2  to  4  times  a  day.  As  it  has  a  pos- 
itive tonic  effect  on  the  muscular  walls  and  mucous  mem- 
branes of  the  bladder  and  urinary  apparatus  it  is  a  good 
remedy  where  women  cannot  hold  their  urine  on  cough- 
ing or  sneezing. 

Tolu  Balsam: 

P.  E. — Balsam  of  myroxylon   toluifernm. 

N.  O. — Leguminosae. 

N.  H. — Central  America. 

Properties :  Stimulant,  expectorant. 

Use:  Has  a  tonic  influence  upon  the  mucous  mem- 
brane. A  good  remedy  in  bronchial  irritation  of  the 
chronic  or  subacnte  form.  It  appears  to  stimulate  to 
normal  action  and  is  therefore  of  value  in  dry,  hacking 
cough,  as  well  as  where  there  is  great  excess  in  expec- 
toration the  result  of  relaxed  condition  of  the  mucous 
membrane.  As  it  is  not  objectionable  to  the  stomach 
it  is  a  remedy  that  can  be  recommended.  However  as 
a  single  remedy  it  is  hardly  effective  enough,  but  makes 


MATERIA    MEDICA    AND   THERAPEUTICS  151 

a  valuable  menstrum  for  other  indicated  remedies  in  con- 
ditions as  stated.  It  is  readily  eliminated  by  the  kidneys. 
Where  sedative  effects  are  needed  syrup  primus  should 
be  used  as  menstrum  instead  of  syrup  tolu. 

Triticum  Repens : 

Syn. — Couch  Grass. 

P.  E.— The  plant. 

N.  O. — Graminacese. 

N.  H. — America,  Europe. 

Properties :  Demulcent,  mildly  diuretic. 

Use :  A  mild,  nonirritating  diuretic.  Allays  urinary 
irritation,  increases  renal  secretion.  We  think  of  it  in 
prostatitis,  pyelitis,  purulent  or  catarrhal  cystitis,  irri- 
table conditions  of  the  bladder,  gonorrhoea  and  in  fevers 
where  a  mild  diuretic  is  desirable  to  increase  secretion 
of  urine.  Give  in  form  of  an  infusion  or  the  tincture,  5  to 
60  drops  in  l/2  to  a  tumbler  of  water  3  to  4  times  a  day, 
as  the  case  may  demand. 

Turnera  Aphrodisiaca : 

Syn. — Damiana. 

I '.  E. — Leaves  and  tops. 

N.  O. — Turneracese. 

N.  H. — Southwestern  States  and  Mexico. 

Properties :  Diuretic,  laxative,  stimulant  and  tonic. 

Use :  A  mild  nerve  tonic  and  stimulating  tonic  to  the 
sexual  apparatus.  Of  value  in  renal  and  cystic  catarrh, 
relieving  irritation  of  the  urinary  passages.  It  is  highly 
spoken  of  as  a  remedy  in  sexual  impotence. 

Umbellularia  Californica : 

Syn. — California  Laurel ;  Spice-brush  ;  Spice-tree  ; 
I  5,'iy-tree  ;  I  'epperwoocl-trec. 

P.  E. — Leaves. 

X.  O. — Lauraceae. 

N.  H. — California. 

Properties :  Stimulant,  antispasmodic,  anodyne. 

Physiological  action:  This  is  not  well  proven  as  yet. 
Inhaling  of  the  tincture  however  will  produce  an  unbear- 


152  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

able  frontal  headache.     Taken  internally  in  large  doses 
it  will  cause  irritation  of  the  gastro-intestinal  tract. 

Use:  In  passive  congestion  if  indicated.  In  atonic 
diarrhoea,  cerebro-spinal  meningitis,  cholera  morbus  it 
has  proven  a  good  remedy  in  doses  of  3  to  10  drops  in 
glycerine,  simple  syrup  or  milk,  2  to  5  times  a  day  as  the 
case  demands.  The  writer  prefers  smaller  doses,  but 
in  emergency  even  larger  doses  may  be  used.  For  mus- 
cular cramps  and  muscular  rheumatism  it  may  be  used 
locally  and  internally.  In  nervous  headache  it  may  be 
inhaled  and  often  will  relieve  promptly.  It  is  contra- 
indicated  in  active  inflammation  of  the  gastro-intestinal 
tract. 

Vesicaria  Communis: 

Syn. — German  bladder  pod. 

N.  O. — Genus  crucifer^e ;  mustard  family. 

N.  H. — Germany ;  cultivated  in  Tennessee  and  Ala- 
bama, U.  S.  A. 

P.  E.— Whole  plant. 

Properties :  Demulcent,  diuretic. 

Indications :  A  smarting,  burning  sensation  in 
urethra  and  bladder.  There  may  be  frequent  desire  to 
urinate.  Urine  in  some  cases  is  only  voided  drop  by 
drop.  Often  in  these  cases  there  is  strangury  associated 
with  the  condition. 

Use:  In  irritable  condition  of  the  bladder.  .Useful  in 
acute  or  chronic  cystitis.  In  nephralgia  it  has  been  used 
with  success,  relieving  the  pain  produced  by  the  pas- 
sage of  calculus.  The  tincture  or  the  homoeopathic 
mother  tincture  should  be  used  in  3  to  15  drop  doses  3 
to  4  times  a  day.  In  cases  where  the  pain  is  severe  it 
should  be  given  every  y2  hour  until  easier  then  every  2 
to  4  hours  as  the  case  demands.  Where  the  pain  is  of 
a  spasmodic  nature  gelsemium  is  a  valuable  adjunct  to 
above.  It  is  claimed  to  be  a  good  remedy  in  gonorrhoea 
if  given  in  large  doses,  say  l/±  to  y2  teaspoonful  3  to  5 
times  a  day.  Some  authors  recommend  it  highly  in 
albuminuria.  By  its  use  the  albumen  in  the  urine  will 
disappear.  Even  in  actual  Bright's  disease  it  is  of  value. 


MATERIA    MEDICA   AND   THERAPEUTICS  153 

In  diseases  of  the  kidneys,    bladder    and    prostrate    we 
think  of  this  remedy. 

Veratrum  Viride : 

Syn. — Veratrum ;  American  Hellebore. 

P.  E—  Root. 

N.  O. — Liliacese. 

N.  H. — North  America. 

Properties :  Arterial  sedative. 

Physiological  action :  In  large  doses  it  causes  a 
marked  reduction  in  temperature  with  rapid  and  feeble 
pulse,  especially  marked  on  the  least  exertion ;  respira- 
tion becomes  slower  followed  by  nausea,  vomiting  and 
a  feeling  of  general  weakness.  In  toxic  doses  all  of  these 
symptoms  become  more  pronounced ;  skin  gets  cold  and 
clammy,  pulse  is  weak,  there  is  headache,  hiccough,  ver- 
tigo, nausea,  severe  vomiting  and  great  prostration. 
There  may  be  dilated  pupils.  In  severe  cases  there  may 
be  even  convulsions.  Veratrum  viride  is  a  very  powerful 
cerebro-spinal  depressant.  However  when  given  in  large 
doses  it  will  produce  vomiting  and  thus  avoid  serious  or 
fatal  results.  It  does  not  accumulate  in  the  system. 

Indications :  Frequent  full,  large  bounding  pulse, 
flushed  face,  fullness  of  tissue.  Flushed  face  and  surface 
a  little  more  of  a  dark  dull  hue  than  the  bright  red  flush. 

Use:  In  sthenic  fevers,  especially  in  the  onset.  It 
is  a  powerful  cerebro-spinal  and  heart  depressant;  slows 
heart's  action  and  circulation  and  in  this  way  reduces 
the  temperature.  When  indicated  it  assists  promptly 
to  remove  venous  obstruction  and  arterial  pressure.  In 
active  cardiac  hypertrophy  where  pulse  is  forcible  and 
strong,  carotids  pulsate,  eyes  are  bloodshot,  with  head- 
ache and  cough,  it  is  of  value.  In  peritonitis  and  metri- 
tis  it  is  of  special  value  and  should  be  given  in  large 
doses  alternated  with  large  doses  of  echinacea.  Useful 
in  convulsions  with  active  cerebral  engorgement.  In 
puerperal  convulsions  it  is  our  best  remedy;  here  it 
should  be  given  in  from  5  to  12  drop  doses  and  repeated 
as  often  as  required,  the  effect  being  carefully  watched. 
In  orchitis  we  find  veratrum  viride  a  good  remedy.  It 
is  of  value  as  a  local  application  in  local  inflammation 


154  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

in  the  early  stage  where  the  skin  is  unbroken.  While 
the  average  dose  of  veratrum  viride  is  from  10  to  40  drops 
in  4  ounces  of  water,  a  teaspoonful  every  i  to  3  hours ; 
in  emergencies  it  may  be  used  in  large  doses.  In  metri- 
tis  it  may  be  given  in  5  to  10  drop  doses,  starting  with  the 
small  dose  and  gradually  increasing  until  pulse  is  con- 
trolled. In  puerperal  convulsions  it  may  be  given  hypo- 
.  dermically  in  5  to  10  drop  doses.  As  it  will  abort  exuda- 
tion in  the  early  stage  of  inflammatory  conditions,  but 
will  not  favor  absorbtion  of  exudates  after  they  have 
taken  place,  it  is  of  most  benefit  in  the  earlier  stages  of 
inflammation.  While  veratrum  viride  is  a  powerful  de- 
pressant in  regular  doses ;  when  administered  in  very 
minute  doses,  I  to  2  drops  in  4  ounces  of  water,  tea- 
spoonful  3  to  4  times  a  day,  it  is  a  stimulant,  heart  tonic, 
and  improves  digestion  and  appetite. 

Viburnum  Opulus: 

Syn. — Cramp  Bark;  High  Cranberry. 

P.  E.— Bark. 

N.  O. — Caprifoliacere. 

N.  H.~ North  America. 

Properties :  Antispasmodic. 

Use :  In  habitual  abortion  it  is  of  value,  but  is  in- 
ferior to  viburnum  prunifolium.  We  think  of  it  in  spas- 
modic pains  in  the  uterus,  ovaries,  or  bladder,  and  in 
stricture.  It  has  special  influence  on  spasmodic  condi- 
tions of  the  pelvic  viscera.  In  spasmodic  dysmenorrhcea, 
hysterical  conditions  with  spasmodic  contraction  of  mus- 
cles it  is  of  value.  Viburnum  opulus  is  mainly  used  Cm- 
its  antispasmpdic  influence  on  the  pelvic  viscera. 

Viburnum  Prunifolium : 

Syn. — Black  Haw;  Stag  Bush. 

P.  E.— Bark  of  root. 

N.  O. — Caprifoliaceae. 

N.  H. — Eastern  and  Middle  States. 

Properties:  Uterine  tonic  and  sedative,  mildly  anti- 
spasmodic,  astringent,  diuretic. 

Use:  Stimulant  tonic  to  the  reproductive  nerve  cen- 
ters. Its  action  is  on  the  uterus,  regulating  its  function 


MATERIA    MEDICA    AND   THERAPEUTICS  1 55 

and  allaying  irritation,  acting  through  the  nervous  sys- 
tem. It  acts  favorably  in  nervous  conditions  of  pregnant 
women.  We  think  of  it  in  threatened  abortion,  uterine 
hemorrhage,  vomiting  of  pregnancy  where  there  is  a 
tendency  to  abortion.  If  ovarian  irritation  is  the  cause 
of  sterility  this  is  a  good  remedy  if  used  for  some  time. 
Dysmenorrhcea  with  cramp-like  pains,  especially  mem- 
branous dysmenorrhoea,  is  often  relieved  by  it;  but  it 
must  be  taken  for  at  least  3  to  4  days,  before  and 
after  the  menstrual  period.  It  is  of  value  in  amen- 
orrhoea  and  metrorrhagia.  In  irregular  and  sudden 
appearance  of  the  flow;  sometimes  occurring  in  eruptive 
and  other  fevers  it  is  of  great  value  in  preventing  sepsis; 
if  antiseptic  douches  are  given  locally  to  prevent  local 
septic  conditions.  Of  value  in  sympathetic  disturbance 
of  the  heart,  stomach  and  nervous  system  in  sensitive 
women  during  or  preceding  the  flow,  which  are  the  re- 
sult of  vaso -motor  disturbances.  May  be  used  to  great 
advantage  in  the  last  months  of  pregnancy,  when  it  will 
facilitate  labor.  Controls  after-pains,  prevents  post-par- 
t  uni  hemorrhage  and  favors  normal  involution.  In  preg- 
nant women  where,  the  circulation  in  the  lower  extrem- 
eties  is  impaired,  with  capiliary  hemorrhage,  pain,  etc., 
the  result  of  weakness  and  engorgement  of  the  uterus, 
which  in  this  way  causes  abnormal  pressure,  viburnum 
prunifolium  is  a  very  good  remedy.  In  threatened  abor- 
tion it  is  our  best  remedy. 

Vinegar : 

Syn. — Cider  vinegar;  Apple  vinegar. 

Properties:  Astringent,  tonic,  antiseptic. 

Use:  Vinegar  for  medical  purpose  should  be  made 
from  the  juice  of  apples  going  through  a  process  of  fer- 
mentation. Alcoholic  fermentation  takes  place  first  fol- 
lowed by  acid  fermentation.  Vinegar  contracts  capil- 
laries and  improves  the  circulation  and  thus  removes  con- 
gestion. Pure  cider  vinegar  is  something  every  physi- 
cian should  have  and  even  carry  in  his  emergency  grip. 
The  writer  carries  a  small  bottle  in  his  emergency  and 
obstetrical  case.  In  any  form  of  uterine  hemorrhages 


156  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

half  vinegar  and  half  water  with  a  little  antiseptic  added 
is  our  best  local  remedy.  If  the  water  that  is  added  is 
hot  it  will  act  more  powerfully.  In  smallpox  it  is  prob- 
ably our  best  remedy  if  given  in  one  tablespoonful  doses 
in  a  wineglass  of  water  every  2  to  4  hours.  One  half 
water  and  vinegar  each  is  useful  as  a  wash  for  hands  and 
face.  For  those  that  have  been  exposed  to  smallpox 
the  same  treatment  will  generally  assist  in  preventing 
contagion.  In  all  cases  disinfection  and  fumigation  with 
formaldehyde  should  be  strictly  enforced.  Gargling  with 
vinegar  and  water  is  also  useful.  A  gargle  made  of  */£ 
vinegar  and  y2  water  with  a  little  antiseptic  added  is  a 
fine  remedy  in  many  congestive  and  ulcerative  throat 
troubles.  In  fact  it  is  the  best  general  gargle  we  have. 
However  this  solution  should  be  as  hot  as  it  can  be  born 
to  be  most  effective.  In  sore  throat,  ulcerative  sore 
throat,  tonsillitis  before  pus  has  formed  it  is  the  gargle 
par  excellence.  The  vapor  of  vinegar  inhaled  is  useful 
in  spasmodic  or  membranous  croup  and  severe  bronchial 
coughs.  For  carbolic  acid  poisoning  vinegar  is  one  of 
our  best  remedies.  In  many  skin  diseases  vinegar  will 
relieve  the  irritation. 

Viscum  Album: 

Syn. — Mistletoe;  Viscum  Flavescens. 

P.  E. — Leaves,  twigs  and  bark. 

N.  O. — Loranthaceae. 

N.  H. — Asia,  Europe  and  America. 

Properties :  Parturient,  emmenagogue,  antispasmodic. 

Physiological  action :  It  stimulates  the  vaso-motor 
nerves,  contracting  the  arterioles.  Having  a  special  ac- 
tion upon  the  uterus.  Stimulates  heart's  action  and  thus 
proves  a  good  remedy  where  its  action  is  weak  and  there 
is  low  arterial  tension.  In  diseases  of  the  brain  or  spinal 
cord  of  a  congestive  nature  it  is  of  great  value  on  ac- 
count of  its  stimulating  effect,  consequently  in  active  con- 
gestion or  active  hyperaemia  it  should  not  be  used. 
Where  there  is  a  lack  of  tone  or  passive  congestion  it  is 
a  good  remedy. 

Indications:  Where  there  is  flow  of  blood  to  the 
brain,  flushing  of  the  face  and  frequent  headache.  With 


MATERIA    MEDICA   AND   THERAPEUTICS  157 

above  conditions  it  is  of  great  value  in  amenorrhcea  and 
dysmenorrhoea  and  other  diseases  of  women. 

Use:  It  is  a  good  cardiac  tonic,  especially  in  cases 
where  dropsy  is  associated  with  heart  trouble.  In  hy- 
pertrophy of  the  heart  with  valvular  insufficiency  with 
dropsy  of  extremities,  small,  weak  pulse,  dyspncea,  it 
sometimes  gives  astonishing  relief  where  other  remedies 
fail.  In  chorea  it  is  a  good  remedy,  in  doses  of  I  to  5 
drops  3  to  5  times  a  day,  especially  where  there  is  a 
condition  of  atony  and  lack  of  vitality.  If  it  increases  the 
trouble,  decrease  the  dose.  In  some  cases  of  spasms  and 
convulsions  it  has  relieved  where  other  remedies  failed. 
It  may  be  given  in  v  to  x  drop  doses  2  to  3  times  a  day. 

Xanthoxylum  Americanum : 

Syn. — Xanthoxylum  ;  Prickly  Ash. 

P.  E. — Berries  and  bark. 

N.  O—  Rutacese. 

N.  H.— United  States. 

Properties :  Stimulant,  tonic,  carminative. 

Physiological  action :  Xanthoxylum  stimulates  the 
nerve  centers  and  thus  increases  the  functional  activity 
of  the  different  organs  of  the  body.  Has  a  tonic  effect 
on  the  heart  and  will  antagonize  congestion  and  blood 
stasis.  Its  action  on  the  capillaries  is  similar  to  that  of 
belladonna  but  is  much  safer  to  use  as  there  are  no  toxic 
effects  from  its  use.  When  taken  it  causes  a  warmth  and 
tingling  through  the  whole  body. 

Use:  Stimulates  the  nerve  centers  and  in  this  way 
increases  the  tone  and  functional  activity  of  different 
organs  of  the  body.  It  stimulates  the  heart,  and  capil- 
lary circulation  and  thus  assists  in  overcoming  conges- 
tion and  blood  stasis.  We  think  of  it  where  the  circula- 
tion is  sluggish,  mucous  membrane  relaxed  and  there 
is  general  lack  of  nerve  tone.  In  rheumatism  as  a  gas- 
tro  tonic,  in  atonic  diarrhoea  and  dysentery,  colic,  chol- 
era morbus,  Asiatic  cholera,  chronic  atonic  dyspepsia. 
Combined  with  hydrastis,  it  makes  a  valuable  restorative 
in  conditions  of  weakness,  malnutrition,  after  debilitat- 
ing fevers,  diarrhoea,  dysentery,  etc.  It  has  a  superior 
tonic  influence  upon  the  stomach  and  digestion  and  im- 

?^ 

'      c     THE  X 

vERSlTY   1 


158  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

proves  nutrition.     A  valuable  remedy  in  chronic  atonic 
dyspepsia. 

Zingiber  Officinale: 

Syn. — Ginger. 

P.  E. — Rhizome. 

N.  O. — Scitaminese. 

N.  H.— India. 

Properties :  Stimulant,  carminative. 

Use:  It  is  an  emergency  remedy  in  flatulence,  colic, 
colds,  hysterical  attacks,  dysmenorrhcea,  uterine  and 
ovarian  pains,  when  not  contra-indicated.  The  tincture 
should  be  taken  well  diluted.  If  a  diaphoretic  effect  is 
wanted  as  in  colds,  congestive  dysmenorrhoea  or  amen- 
orrhoea  of  a  congestive  nature  from  colds,  ^  to  i  drachm 
of  the  tincture  may  be  used  to  a  pint  or  quart  of  hot 
water.  Zingiber  stimulates  the  gastro-intestinal  mucous 
membrane,  therefore  is  of  use  in  relaxed  and  catarrhal 
conditions  of  same.  In  flatulence  from  decomposition  of 
the  ingesta  it  is  extensively  used.  Our  best  remedy  to 
relieve  distention  of  the  stomach  which  is  caused  by  ac- 
cumulation of  gases. 


ELECTRICITY. 

Ohm:  Represents  the  electric  resistance  which  will 
be  encountered  by  an  electric  current  flowing  through 
a  column  of  mercury  at  32  degrees  fahrenheit ;  in  oilier 
words  at  freezing  point,  106  cm.  long  and  I  square  mil- 
limeter in  a  cross  section.  The  unit  of  resistance  is  there- 
fore an  "ohm."  If  a  wire  was  too  small  for  volt  pressure 
and  ampere  current  of  resistance  of  the  wire  would  be 
overcome  and  become  heated;  perhaps  get  red  hot  and 
melt  if  above  power  was  very  great.  The  finer  the  wire 
the  greater  number  of  ohms  resistance  it  has  to  the  foot. 
If  more  wires  are  used  resistance  is  not  so  great  on  each. 
Resistance  varies  in  different  metals.  The  greater  the 
length  of  the  curcuit  the  greater  the  resistance.. 

Ampere :  Represents  the  volume  of  a  current  which 
is  produced  by  a  pressure  of  one  volt  flowing  through 


ELECTRICITY  159 

some  conductor  that  has  a  resistance  of  one  ohm.  It  is 
the  electrical  current  itself  and  is  the  practical  unit  of 
measurement  of  rate  of  flow. 

Voltage :  Is  pressure,  that  is  push  power,  the  force 
that  impels  it.  Therefore  is  the  practical  unit  of  pres- 
sure. 

Circuit:  When  two  electric  wires  from  a  battery 
arc  connected  together  through  any  apparatus  or  in- 
strument it  is  called  a  circuit.  If  only  one  wire  is  used 
and  the  other  side  connected  with  the  earth,  we  have 
what  is  called  a  ground  circuit. 

Joule :  Is  the  unit  of  work.  If  one  volt  causes  I  cou- 
lomb of  electricity  to  pass  through  a  circuit.  The  volt 
coulomb  is  the  unit  amount  of  work  done  independently 
of  any  factor.  It  is  equal  to  0.738  pounds. 

The  resistance  offered  by  different  metals  in  conduct- 
ing electricity  are  various.  Copper  is  taken  as  the  unit 
of  comparison  or  i. 

Metal.  Resistance. 

Silver    0.77 

Cold 1.38 

Aluminum 2.29 

Xinc   2.82 

Iron   '. 5.36 

Tin    6.76 

Platinum    7.35 

Lead    9.96 

German  silver   10.09 

Antimony    18.07 

A I  ercury    4748 

'Bismuth    . 64.52 

Graphite    1 106.00 

Gas  Carbon   2037.00 

Coulomb:  Is  the  unit  of  measurement  of  electrical 
quantity.  The  unit  of  quantity  of  electricity  by  I  am- 
pere in  one  .second. 

Watt:  Is  the  unit  rate  of  doing  work  when  I  volt 
causes  a  current  of  I  ampere  to  flow,  that  is  Watts  (ac- 
tivity) is  obtained  by  multiplying  volts  by  amperes. 


l6o  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

-f-  Acid  Anode:  Entrance  of  current  into  body. 

—  Cathode :  Outlet  of  current  into  the  body. 
+  Generally  stands  for  "Positive"  Pole. 

—  Generally  stands  for  "Negative"  Pole. 
E.  M.  F. :  Stands  for  Electro  motive  force. 
Electrolysis :  When  an  electric  current  passes  through 

any  chemical  substances  that  are  in  solution  there  is 
splitting  up  of  the  substances  into  their  elements.  Thus 
the  salt  is  split  up,  acid  being  collected  at  positive  pole, 
alkali  at  the  negative  pole.  The  freed  elements  at  the 
positive  pole  are  called  "anions,"  those  of  the  negative 
"kations."  Strictly  speaking  electrolysis  is  galvano- 
chemical  decomposition. 

Water,  pure,  is  a  non-conductor,  but  the  saline  im- 
purities make  it  a  conductor.  Oxygen  (anion)  appears 
at  the  positive  pole  and  hydrogen  (kation)  at  the  nega- 
tive pole. 

To  tell  a  positive  from  negative  pole.  Electrolysis. 
Bubbling  of  hydrogen  from  negative  pole. 

Galvanometer  between  poles'  needle  will  diverge 
towards  the  positive  pole. 

The  human  body  has  20  times  less  resistance  than 
water.  Skin  and  the  sciatic  nerve  have  the  greatest  re- 
sistance. Bone  20.  times  greater  resistance  power  than 
muscles.  Skin  comes  next  in  line,  having  more  resistance 
power  than  any  other  part  of  the  body  except  bones  and 
sciatic  nerve. 

Galvanic  current  employed  has  generally  from  i  to 
500  volts  interrupted  or  contains  amperage  i  to  300  volts. 

Faradic  current  pressure  100  to  300  volts  according  to 
core  or  coil  with  current  volume  of  i-io  to  i-iooo  milli- 
atnpere. 

Static  machines  may  have  as  high  as  60,000  volts 
pressure  current  volume  i-ioooooo  milliampere. 

Effects  on  skin,  if  wanted,  use  dry  with  metal  brush. 

Seventy-five  per  cent  of  the  body  is  supposed  to  be 
saline  water,  which  is  a  good  conductor  of  electricity ; 
therefore  the  more  water  in  tissues  the  less  resistance  and 
vice  versa. 

Salt  water  increases  conductivity. 

Soapy  water  increases  conductivity,  doubles  current. 


ELECTRICITY 


161 


Some   Differential   Points   in   Galvanism   and   Faradism. 


Galvanic :  Greater  am- 
perage. Will  produce  mus- 
cular contraction  when  Fa- 
rad ic  fails.  If  used  on  the 
head,  spine,  etc.,  should 
only  be  used  for  a  brief 
time. 

4-  Positive : 

Is  acid. 
Promotes  a  clot. 

Repels  soluble  salts. 
Has  a  drying  influence. 
Diffuses  and  attracts  ele- 
ments. 
Lessens  nerve  irritability. 

Ts  contracting. 

Coagulating. 

Denutritive. 

Lessens  inflammation. 

Hardens. 

Lessens  menstruation. 

Allays  excitability. 

In  acute  conditions. 

Hyperaemia. 

In    leucorrhcea    with    pro- 
fuse secretion. 


Faradic :  Less  amper- 
age. Less  likely  to  produce 
harmful  effects.  May  be  ap- 
plied to  head,  spine,  etc., 
for  some  time. 


-  Negative : 

Is  alkaline. 

Alkaline  dissolves  and  ab- 
sorbs a  clot. 
Attracts  soluble  salts. 
Moistening. 
Reverse. 

Increases    nerve    irritabil- 

ity. 

Is  dilating. 
Liquifying. 

Increases  local  nutrition. 
Increases     local    vascular- 

ity. 

Softens  and  absorbs. 
Increases  menstruation. 
Increase  excitability. 
In  chronic  conditions. 
In  anaemia. 
Destroys     and    eliminates 

non-vascular  tissue. 
Dilates  uterine  canal. 


Electricity  is  contra-indicated  in  fibrocystic  or  very 
soft  myomas  and  fibroids  complicated  with  purulent 
lesion  in  the  pelvis. 

Electricity  is  also  contra-indicated  in  active  inflam- 
mation. 

Electricity  is  contra-indicated  in  any  condition  of 
anaesthesia  caused  by  embolism  or  hemorrhage. 


l62  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

To  find  place  where  nerve  enters  muscle  place  arm 
on  positive  pole  and  on  upper  surface,  move  or  trace 
with  negative  pole,  increasing  current,  starting  with  a 
light  current  until  muscle  contracts  in  some  place.  This 
is  the  motor  point.  Place  positive  under  foot  and  trace 
with  negative  as  above,  on  leg  to  find  motor  points. 

Intra-uterine  use  of  electricity  is  contra-indicated  in 
all  irritable  conditions  of  the  uterus. 

A  painful,  tender  uterus,  if  it  bears  a  strong  current, 
the  pain  being  relieved  while  current  is  used  shows  that 
there  is  passive  congestion.  If  the  pain  persists  or  is 
perhaps  increased  it  shows  that  there  is  inflammation. 

The  electrical  current  in  our  body  may  be  in  excess 
or  perverted.  If  in  excess  there  is  generally  more  of  a 
condition  of  excitation,  we  find  no  wrong  in  the  nerve 
centers,  skin  is  constricted  and  dry  which  seems  to  be 
different  from  dryness  of  other  causes.  Hard  brain 
work,  confinement  in  very  dry  rooms,  bad  conductors  of 
heat,  as  underwear  are  some  of  the  main  causes.  Moist 
atmosphere,  good  ventilation  and  underwear  that  is  a 
good  conductor  of  heat  usually  corrects  the  trouble. 
(  hi  the  other  hand  want  of  electricity  is  marked  by  want 
of  tone,  energy,  easy  exhaustion,  relaxed  skin,  in  fact  a 
general  condition  of  relaxation  not  the  result  of  local  or 
general  condition.  Moist  and  poorly  ventilated  rooms, 
excess  of  moisture  where  working,  excessive  perspira- 
tion, overindulgence  in  sexual  intercourse,  excessive 
urination,  excessive  moisture  in  air  where  working  and 
wearing  conductors  of  heat  for  underwear.  This  can 
be  corrected  by  changing  the  surrounding  environments. 
Give  sunshine,  dry  air,  higher  altitude  if  possible,  woolen 
underwear,  good  food  and  in  many  cases  restorative  and 
nerve  stimulants. 

Positive  pole  is  cool. 

Negative  pole  is  hot. 

Positive  pole  of  the  faradic  battery  is  sedative  and 
the  negative  is  stimulating. 

Galvanic  negative  pole  should  be  applied  to  fibrous 
tissue,  exudates,  tumors,  etc.,  the  removal  of  which  is 
desired.  The  positive  pole  of  galvanic  battery  is  and 


ELECTRICITY  163 

can   be   used   in   neuralgia  or   where   stimulation    is    re- 
quired. 

Galvanic  current  from  i  to  6  or  8  milliamperes  stimu- 
lates nutrition  and  causes  normal  increase  of  growth, 
while  a  current  from  15  to  20  destroys  tissue  and  causes 
atrophy. 

Connecting:  As  to  connecting  series  of  cells  it  de- 
pends upon  the  work  we  have  to  do  and  what  force  in 
either  direction  we  look  for.  Galvanic  therapeutic  bat- 
teries are  connected  together,  unlike  elements  are  joined 
together  in  series,  that  is,  the  positive  the  zinc  is  con- 
nected with  the  carbon,  or  in  other  words  unlike  ele- 
ments with  each  other  starting  with  the  positive  zinc 
connecting  with  the  negative,  the  carbon  with  conduct- 
ing'cords.  This  in  a  series  gives  high  voltage,  that  is, 
pressure,  and  is  required  in  passing  through  bodies  of 
large  resistance  each  additional  cell  increases  the  voltage 
current  or  pressure.  If  we  require  more  amperage,  that 
is,  more  electric  current  than  pressure  (the  resistance  to 
overcome  being  small),  as  for  instance  the  heating  of 
platinum  electrodes  for  actual  cautery,  in  such  cases  the 
arrangement  must  be  different.  In  this  case  like  ele- 
ments are  connected  which  is  termed  multiple  or  parallel. 
In  this  case  if  a  number  of  cells  are  connected  in  a  series 
the  whole  series  no  matter  how  many,  only  give  the 
quantity  of  amperage  of  one  cell.  Galvanic  cells  that 
are  generally  sold  only  have  about  a  current  of  2  am- 
peres. As  cautery  knives,  etc.,  require  from  6  to  18 
amperes,  it  would  not  be  possible  to  heat  even  the 
smallest  cautery  knife  even  if  there  were  50  to  100  cells 
joined  together.  This  goes  to  show  that  one  or  two 
batteries  would  be  enough  provided  they  contain  large 
elements,  in  order  that  large  quantity  of  current  may 
be  given  off,  so  as  to  get  enough  pressure.  Ordinary 
forms  of  Le  Clanche  batteries  are  not  practicable,  as  in 
a  short  circuit  they  polarize  very  rapidly  in  a  closed 
circuit.  The  above  refers  to  galvanic.  Caustic  galvanic 
cautery  requires  a  different  arrangement. 


164  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

FORCE      OF      SUNLIGHT,      VIBRATIONS      AND 
THEIR   INFLUENCE   ON   THE   BODY   IF 
PASSED     THROUGH     COLORED 
GLASS,  ETC. 

Experience  has  proven  that  sunlight  or  electric  light 
passed  through  colored  glass  or  reflected  by  a  colored  re- 
flector, will  increase  or  decrease  the  circulation  according 
to  what  colors  the  rays  pass  through.  This  the  writer 
thinks  is  of  enough  importance  to  the  medical  profession 
to  mention  it  as  well  as  giving  a  short  outline  of  effects, 
etc. 

As  light  passing  through  red  will  increase  vibration 
far  above  the  normal,  it  becomes  a  stimulant  and  irri- 
tant to  the  body  or  parts  on  which  it  is  focused,  thus 
powerfully  increasing  the  circulation  while  under  its 
influence. 

Blue  acts  in  the  opposite  way,  it  sedates  and  de- 
presses. On  light  passing  through  blue,  vibrations  are 
decreased  below  the  normal. 

As  our  circulation  tries  to  keep  time  with  the  sur- 
rounding vibrations  it  will  be  decreased  or  increased 
according  to  the  influence  of  the  colors  as  stated.  De- 
creased by  blue  and  increased  by  red. 

This  will  explain  why  the  influence  of  light  passed 
through  blue  is  indicated  in  fever  or  inflammatory  con- 
ditions, while  red  is  indicated  where  there  is  lack  of  cir- 
culation and  where  stimulants  and  irritants  are  in  place. 

Modifications  of  above  colors  act  similarly,  green 
being  cooling  and  sedating,  while  shades  of  red  are  more 
or  less  irritating  according  to  intensity  of  the  red,  etc. 

From  this  it  can  be  readily  seen  why  a  patient  with 
fever  and  active  delirium  should  never  be  in  a  room 
where  the  sunlight  passes  through  red  window  panes  or 
red  curtains,  nor  should  the  walls  be  red.  It  is  irritating 
and  harmful.  It  increases  circulation  and  determination 
of  blood  to  the  head. 

Blue  window  panes  or  blue  curtains  will  be  cooling 
and  sedating  if  sunlight  passes  through  them.  Here 
again  where  sedation  acts  as  a  powerful  depressant  and 


SUNLIGHT  AND  COLOR  165 

where  patient  is  cool  and  depressed  this  is  contra-indi- 
cated. In  general  white  walls,  plain  window  panes,  with 
blue,  green  or  olive  shades  are  preferable,  especially  the 
last. 

It  can  thus  be  seen  that  a  knowledge  of  use  and  abuse 
of  colors  is  important  to  the  physician.  In  the  treatment 
of  insanity  it  is  a  great  aid  to  other  indicated  remedies, 
rules,  etc. 

A  good  way  of  using  colors  locally  in  any  condition 
where  local  effects  only  are  wanted  and  in  places  where 
there  are  electric  light  plants,  is  to  get  a  reflector  with 
insulated  cords.  Attach  to  circuit  and  screw  on  a  blue 
or  red  globe  as  the  case  may  demand.  Then  turn  on 
your  light  and  you  are  ready  for  work.  Sunlight  may 
be  passed  through  colored  glass  for  general  effect,  or 
through  specially  arranged  reflectors  for  local  condi- 
tions. 

A  few  points  on  the  positive  and  negative  forces, 
harmony,  etc.,  are  not  out  of  place,  in  fact  are  necessary 
to  get  a  general  understanding  of  the  forces.  The  laws 
of  harmony  require  contrast,  but  not  contrary  forces. 
Similar  colors  for  instance,  repel,  arouse  and  thus  in- 
tensify one  another. 

Electricity  of  Heat:  All  alkalies,  sweets,  hydrogen, 
carbon  or  fatty  food,  mustard,  pepper,  ginger,  head,  left 
side  of  the  body,  laxatives,  rubifacients,  steam,  hot 
water,  hot  air,  arterial  blood,  sensory  nerve  force,  neg- 
ative pole  of  battery,  south  pole  of  a  magnet,  red, 
orange,  yellow  and  yellow  green,  rays  of  light,  etc. 

Electricity  of  Cold  includes :  Acids,  ice,  cold  water, 
cold  air,  oxygen,  acid  fruits,  the  north  pole  of  a  magnet, 
the  positive  pole  of  a  battery,  the  right  side  of  the  body, 
the  feet,  the  venous  blood,  motor  nerve  force,  astringents, 
refrigerents,  sedatives,  blue,  blue-green,  indigo  and 
violet  colors,  etc. 

Overexcitability  is  relieved  by  hanging  blue  glass  in 
window,  have  blue  curtains,  especially  on  the  sunny  side, 
bluish  walls.  Useful  also  in  insanity  where  there  is 
Overexcitability. 


1 66  MATERTA  MED1CA  AND  CLINICAL  THERAPEUTICS 

Scanty  or  Suppressed  Menses:  Focus  red  lens  over 
each  ovary  a  few  minutes  at  or  just  before  the  time  of 
the  menses. 

Too  Frequent  Menstruation,  or  too  profuse,  is  cured 
by  the  focusing  the  blue  lens  over  each  ovary  a  few  min- 
utes little  before  the  menses  are  expected.  Repeat  3  or 
4  times. 

Cystitis :  Focus  blue  lens  over  bladder. 

Wens,  Moles  and  Warts:  Focus  light  upon  them 
through  a  burning  glass  from  2  to  5  minutes  and  repeat 
if  necessary. 

Corns:  Shave  down  and  a  burning  glass  focused  on 
same  a  little  while  will  destroy  the  roots. 

Birth  Marks:  Entirely  destroyed  by  the  use  of  a 
burning  glass,  entirely  burning  away  part  of  the  discol- 
oration. Effects  are  better  when  focused  through  a 
blue  lens  in  front  of  the  burning  glass. 

Cancer  Superficial :  "Burning1  glass  is  used  to  burn  it 
out.  Some  cocaine  may  be  applied  before  using  to  mit- 
igate pain.  It  destroys  the  germs  in  surface  cancers. 
Deep  seated  cancers  cannot  be  reached  by  this  method 
of  course. 

Variola :  The  late  Dr.  N.  R.  Finsen*  has  given  us 
proof,  that  the  light  passed  through  red  window  panes 
is  very  beneficial  in  this  disease :  furthermore  it  has  been 
demonstrated  by  him  that  it  will  prevent  pitting,  some- 
thing dreaded  more  by  most  people  than  the  disease 
itself.  This  would  suggest  that  variola  is  of  an  astlu'iiic 
nature. 

*NOTB. — Dr.  E.  D.  Babbitt's  work,  "The  Principles  of 
Light  and  Color,"  as  far  back  as  in  1878  gives  the  thera- 
peutic value  of  light  and  color  in  general. 


FORMULAS   AND  USEFUL   INFORMATION  l? 

FORMULAS  AND  SOME  USEFUL  INFORMA- 
TION. 

Acne :  Punctata  and  pustulata.  Berberis  aquif.  con- 
tinued for  a  long  time  is  very  good  treatment.  Where 
the  lime  salts  are  deficient  sulphide  of  calcium  is  a  good 
remedy.  If  there  is  involvement  of  the  glands  phytolacca 
and  iris  make  good  adjuncts  to  other  indicated  remedies. 
Rchinacea  is  useful  where  there  is  a  depraved  condition 
of  the  blood. 

Anal  Prolapsus:  Hamamelis,  stramonium  and  thuja 
in  glycerine  make  a  very  good  local  application. 

Angina  Pectoris:  Inhalation  of  amyl  nitrite  is  useful. 
A  lav  be  given  internally  in  small  doses.  Give  lobelia  in 
TO  to  20  drop  doses  during  attack  with  3  to  10  drops  of 
cactus  grand.,  and  repeat  if  necessary.  Cactus  alone 
in  large  doses  has  proven  useful. 

Antiseptics  that  the  writer  has  found  most  effective 
and  least  objectionable:  Alphozone,  Formaldehyde,  For- 
molyptol  (Merrill's). 

Ascaris  Vermicularis :  Injection  into  the  rectum  of 
a  strong  infusion  of  apple  tree  bark  is  very  good.  Pow- 
dered apocynum  can.  bark,  grains  4  to  5  as  a  cathartic 
is  very  good.  Enema  of  strong  infusion  of  quassia  bark 
is  a  good  remedy,  i  part  fluid  extract  of  collinsonia  can. 
to  4  parts  of  water  as  an  injection  is  said  to  destroy  these 
little  pin  worms. 

Asthma:  Inhalation  of  amyl  nitrite  often  acts  very 
fnvorably,  relieving  an  attack.  Chloroform  is  perhaps 
our  best  emergency  remedy.  It  may  be  inhaled  until 
relaxation  occurs.  If  all  these  means  fail  we  have  to 
re-sort  to  morphine.  Lobelia  in  10  to  15  drop  doses,  re- 
peated  until  eniesis  is  produced  is  often  very  effective. 
Yerba  santa  and  grindelia  robusta  of  each  3  drachms; 
cactus  grand.  T  drachm;  glycerine  4  ounces;  a  tea- 
spoonful  every  20  minutes  until  relieved;  then  V2  tea- 
spoonful  at  intervals  of  every  2  to  3  hours,  will  often 
cure-.  Blatta  oricntalis  is  highly  recommended  3x  in  2 
to  3  grain  doses  every  i  to  4  hours  as  the  case  demands. 


1 68  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

Pulmo  vulpis  ix  about  .2  or  3  grains  every  i  to<  4  hours 
is  useful  in  catarrhal  asthma,  especially  in  old  people. 

Ascites :  Remove  cause.  Our  best  general  remedies 
acting  on  the  immediate  conditions  are :  Oxydendron 
arboreum  5  to  10  drops  in  water  3  to  5  times  a  day,  or: 
thlaspi  bursa  pastoris,  10  drops  to  I  teaspoonful  every 
3  to  5  hours  as  the  severity  of  the  case  demands.  This 
latter  is  also  a  fine  remedy  in  general  dropsy. 

Baby  Soother:  Sp.  cypripedium  5ii ;  comp.  tincture 
lavendula  5ii ;  sp.  lobelia  oss ;  syrup  made  of  granulated 
sugar  and  water  (thin)  q.  s.  ad  §iv.  Dose,  5  drops 
to  J/2  teaspoonful.  This  is  much  safer  and  pleasant 
than  preparations  that  contain  opium  or  morphine. 

Barbers  Itch :  Sycosis  parasitica.  Resorcin  drachms 
ii ;  glycerine  ounce  i ;  alcohol  ounce  ii ;  water  I  pint. 
Apply  locally.  Hydrozone  applied  full  strength  is  ef- 
fective. Phytolacca,  hyposulphite  of  soda  and  sulphur 
are  also  useful. 

Bladder  Chronic  Inflammation  of  Neck:  Helonias 
and  alum  in  small  doses  is  very  good  treatment.  Ves- 
icaria  communis  is  a  valuable  all  around  remedy  in  blad- 
der trouble  and  in  these  conditions  as  well. 

Blood  Poison :  If  from  a  foreign  substance  remove 
it  and  treat  with  antiseptics.  Internally  in  all  cases  give 
large  doses  of  echinacea.  If  stimulation  is  needed  muri- 
ate of  ammonia  may  be  alternated  with  it.  Where  the 
heart's  action  is  tumultous  lycopus  verg.  may  be  added 
to  echinacea. 

Blood  Blister:  As  soon  as  they  occur  rub  for  some 
time  briskly  to  re-establish  circulation  and  they  will 
entirely  disappear. 

Boils:  Recurrent :  one  gone  another  appears.  If  there 
is  a  deficiency  of  lime  salts  in  the  system  calcium  sul- 
phide ix  is  a  very  good  remedy.  Calcium  sulphite  ix 
is  also  useful  in  many  cases.  To  be  given  in  2  to  5  grain 
doses  4  to  5  times  a  day  until  cured,  then  in  small  doses 
and  at  long  intervals  for  a  short  time  longer.  Brown 
iodide  of  lime  is  said  to  be  a  fine  remedy ;  this  is  also  an 
excellent  remedy  in  blood  boils.  Where  the  cause  of 


FORMULAS   AND  USEFUL   INFORMATION  169 

boils  is  not  a  lack  of  the  lime  salts  in  the  system,  but 
from  depraved  condition  of  the  blood,  echinacea  is  the 
king  of  remedies.  After  pus  has  formed  silica  3x  should 
be  alternated  with  above. 

Breasts  Caked,  and  Inflammation  of  the  Breasts:  In 
the  early  stage  antiphlogistine  is  our  best  local  applica- 
tion. Internally  phytolacca  is  our  best  remedy.  If  there 
are  sharp  pains  bryonia  should  be  associated  with  phy- 
tolacca. Echinacea  should  be  given  in  all  cases  in  large 
doses  to  prevent  formation  of  pus ;  or  if  formed  to  favor 
its  absorbtion.  The  properly  indicated  sedatives  may 
be  added  if  temperature  runs  high. 

Breathing,  Shallow :  In  the  conditions  where  there  is 
spinal  enervation  we  think  of  mix  vomica  as  a  temporary 
remedy.  Where,  however,  regional  stimulation  is  neces- 
sary we  find  small  doses  of  tartar  emetic  3x  the  best 
remedy. 

Burns:  My  salve  No.  2  is  a  very  fine  soothing  and 
healing  application;  in  fact  the  writer  has  found  it  to  be 
the  best  by  far  of  all  applications  tried  so  far.  A  10% 
solution  of  formaldehyde  is  useful. 

Catheter,  How  to  Introduce  Easily:  In  the  male  it  is 
often  difficult  to  pass  a  catheter  in  cases  where  bladder 
must  be  washed  out.  It  may  even  penetrate  the  mucous 
membrane  and  form  a  false  passage.  A  little  tincture 
of  lobelia  injected  into  the  meatus,  especially  if  there  is 
spasmodic  contraction,  will  fully  relax  the  canal.  Then 
with  a  syringe  (fountain)  and  tip  a  solution  will  easily 
seek  its  way  and  open  the  passage  and  a  catheter  is  not 
necessary.  If  a  catheter  must  be  passed,  it  will  pass 
easily. 

Cancer:  To  relieve  the  pain  echinacea  is  one  of  our 
best  remedies ;  but  it  must  be  taken  in  large  doses  of  say 
10  to  15  drops  3  to  5  times  a  day.  If  cancer  is  external 
it  may  also  be  applied  locally  in  25%  solution.  Conium 
maculatum  is  a  very  good  local  application.  A  decoc- 
tion of  peruvian  bark  is  a  very  goor  soothing  local  appli- 
cation. Chefidonium  ma  jus  applied  locally  and  injected 
around  the  cancer  is  very  good  treatment.  A  plaster 
made  of  echinacea,  chelidonium  and  thuja  is  very  good, 


I/^O  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

in  fact  the  best  of  all  applications.  Surface  cancers  may 
be  cured  by  burning  out  with  a  sun  glass  or  better  yet 
with  the  X  rays.  Application  of  oil  of  eucalyptus  is  very 
good  and  may  be  combined  in  a  plaster  or  salve  with 
echinacea,  chelidonium  and  thuja  to  great  advantage. 

Cancer  of  the  Stomach:  Fluid  extract  of  gonolobus 
condurango  is  very  good,  the  dose  being  gtt.  x  to  xxx, 

3  to  5  times  a  day.     Of  the  wine  take  one  ounce,  add 
60  grains  of  condurango.     Dose   ^   to   I   ounce  2  to  4 
times  a  day.    Echinacea  in  large  doses  will  help  to  relieve 
the  pain ;  so  will  piscidia  erythrina.     Conium  maculatum 
is. recommended  by  some. 

Cellulitis,  Pelvic :  Kali  mur  3x  is  one  of  our  best  rem- 
edies; 10  to  20  grains  in  2  ounces  of  water,  ]/2  teaspoon- 
ful  every  2  to  3  hours.  Echinacea  and  other  indicated 
remedies -may  be  used  with  success.  Arsenicum  album 
I2x  may  be  alternated  with  above,  if  indicated. 

Cerebro  Spinal  Meningitis:  Our  main  remedies  dur- 
ing the  course  of  the  disease,  to  control  inflammatory 
process  and  favor  absorbtion,  are  echinacea,  kali  mur 
3x  and  bryonia.  Rhus  tox  may  be  added  to  these  for 
restlessness.  "Echinacea  to  be  given  in  good  sized  doses. 
For  the  condition  termed  "opisthotonos"  no  remedy  acts 
more  promptly  than  cicuta  virosa  3od.,  5  to  15  drops  in 

4  ounces  of  water  one-half  to  one  teaspoonful   every  2 
hours  to  be  alternated  with  above  remedies.     Temporary 
conditions  should  be   met  by   indicated   remedies   citlu'r 
in    the   primary   or   secondary    form.      Locally    apply    t<> 
spine  and  base  of  brain  antiphlogistine  and  renew  when 
dry.     Powerful  depressants  should  be  avoided.     Cercbro- 
spinal   meningitis  treated  properly  will  generally   result 
in  recovery  and  without  any  serious  after-effects. 

Chancroid:  Chancroid  is  a  local  disease;  while  chan- 
cre is  the  initial  lesion  of  syphilis.  The  point  in  the 
treatment  of  chancroid  is  to  kill  the  poison  in  the  lesion. 
Xitric  acid  is  very  good.  Apply  with  a  toothpick  to  all 
parts  of  the  sore.  Chromic  acid  is  used  by  many  in  place 
of  nitric  acid  as  it  is  more  penetrating.  Formaldehyde, 
the  pure  40%  solution,  is  very  effective.  Some  rccoin- 


FORMULAS   AND  USEFUL   INFORMATION  I/I 

mend  hydrozone  pure.  In  any  case  whatever  is  used  the 
sore  should  be  washed  out  well  with  good  antiseptic  so- 
lution and  then  dressed  with  some  dry  antiseptic  dress- 
ing, lodoform  or  its  preparations  should  not  be  used 
when  hydrozone  peroxide  of  hydrogen  or  formaldehyde 
have  been  used.  If  the  burning  out  of  sore  is  too  pain- 
ful use  cocaine  as  a  local  anaesthetic. 

Chilblains:  Eucalyptus  oil  put  on  the  place  with  a 
brush  a  few  times  a  day  will  ameliorate  pain  and  eventu- 
ally effect  a  cure.  Lard  2  quarts;  turpentine  i  pint;  cam- 
phor J4  Ik.  Rub  well  into  parts  affected.  A  good  rem- 
edy. 

Cholera:  Hume's  life  drops.  Oil  cajuput,  oil  cloves, 
oil  anise,  oil  peppermint,  each  one  ounce;  alcohol  4 
ounces.  Dose :  From  1/2  to  i  teaspoonful  every  10  min- 
utes in  sweetened  water  or  brandy  until  reaction  is  estab- 
lished. Camphor  in  alcohol  will  often  establish  reaction. 
Capsicum  i  teaspoonful ;  salt  i  teaspoonful ;  vinegar  y2 
or  i  cup.  Dose :  Above  to  be  taken  at  a  dose  in  emer- 
gencies in  danger  of  collapse  to  establish  reaction.  Very 
large  doses  of  echinacea  should  be  the  general  treatment 
with  stimulants  and  other  indicated  remedies.  Umbel- 
lularia  californica  may  be  given  with  echinacea  to  great 
advantage.  To  relieve  pain  if  very  severe,  enemas  of 
one  ounce  of  water;  i  drachm  of  xanthoxylum ;  tincture 
opium  20  drops;  may  be  given  and  repeated  if  necessary. 
Kor  cramps  in  the  last  stage  comp.  tincture  of  myrrh  i 
ounce;  capsicum  ^  ounce;  diluted  alcohol  2  pints.  Dose, 
5  drops  to  i  drachm.  For  further  treatment  of  cholera, 
cholera  morbus  and  cholera  infantum  see  Part  II  under 
proper  heading  in  primary  action  of  drugs. 

Chorea :  Where  there  is  determination  of  blood  to 
the  head  gelsc'mium  has  been  used  with  success;  that  is 
if  a  depressant  is  admissable.  If  not  a  proper  stimulant 
to  the  heart  and  spinal  nerves  may  be  added.  Passirlora 
has  been  recommended  where  there  is  a  lack  of  blood 
in  the  head.  Scutellaria  has  been  used  with  success  in 
many  cases.  Viscum  album  in  5  drop  doses  3  times  a 
day  is  a  good  remedy.  If  it  increases  the  trouble  de- 
crease dose.  General  constitutional  condition  must  also 


I J72  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

be  looked  after.    Where  twitching  quits  entirely  as  soon 
as  falling  asleep  use  agaricus  muse.  3od. 

Colic :  Intestinal  colic  where  bending  double  or  pres- 
sure will  ameliorate  colocynthis  2d  is  one  of  our  best 
remedies.  Useful  in  colics  of  any  form  with  above  in- 
dications. 

Bilious  Colic:  Where  bending  backwards  ameliorates 
pain  dioscorea  vil.  5  to  10  drops  in  hot  water  every  y, 
to  2  hours  is  useful. 

Uterine  Colic :  Generally  relieved  by  colocynthis  2d, 
viburnum  opulus  or  magnesium  phos.  2x. 

Colic  in  General :  Where  a  relaxant  is  admissablc, 
Lloyd's  libradol  applied  locally  to  the  parts  generally 
will  assist  internal  treatment.  If  it  produces  nausea,  re- 
move. 

Painters'  Colic :  Epsom  salts  i  teaspoonful  to  I  oz.. 
in  4  ounces  water,  with  a  little  sulphuric  acid  added  to 
make  pleasantly  sour,  is  one  of  our  best  remedies. 

*  Coughs :  Dry  cough  increased  by  lying  down  and 
relieved  by  getting  up  is  often  checked  by  hyoscyamus. 
if  of  nervous  origin. 

Dry,  summer  cough,  rumex  crispus  is  useful. 

Nervous  coughs,  evening  primrose  is  useful. 

Hysterical  coughs,  corallium  rubrum  6x  is  useful  in 
2  to  3  drop  doses  2  to  4  times  a  day.  This  is  also  good 
in  some  forms  of  spasmodic  coughs. 

Dry  and  wheezing,  rasping,  dry,  persistent ;  comes  on 
during  summer;  cough  in  hay  fever,  influenza,  sticta  pnl- 
monaria  is  very  good. 

Chronic  cough  that  is  worse  in  the  morning  after 
eating,  causing  the  patient  to  vomit,  bryonia  is  a  good 
remedy. 


*NOTE. — It  will  be  better  to   give  here  a  few   remedies 
that  act  on  the  respiratory  tract  and  on  what  part. 

•  On  the  lower  part,  that  is  the  smlaller  tracts,  we  think  of 
lobelia,  ipecac,  tartar  emetic  3x. 

On   the  parenchyma  of    the    lungs,   asclepias,    echinacea, 
kali  mur  3x. 

On  the  larger  air  passages    enula,   lippia   mexicana,   san- 
guinaria,  trifolium. 


FORMULAS  AND  USEFUL   INFORMATION  173 

Severe  cough  of  influenza,  inula  helenium  is  good, 
also  in  cough  from  general  bronchial  irritation ;  cough 
of  peculiar  deep  resonant  barking  nature;  bronchial 
cough  without  secretion,  in  chronic  conditions  especially, 
lippia  mexicana  is  useful. 

Cough,  loud,  hard,  croupy,  kali  mur.  3x. 

Cough,  short,  tickling,  dry,  with  rise  of  temperature, 
ferrum  phos.  3x. 

Cough  with  feeling  of  constriction,  tickling  in  the 
throat,  sanguinarea  nitrate  2  or  3x  is  a  good  remedy. 

Cough  of  spasmodic  nature,  cough  of  measles  we 
think  of  drosera. 

Cough  with  crepitant  rales ;  hollow,  reverberating 
cough,  capillary  bronchitis,  tartar  emetic  3x  is  fine. 

Cough  with  general  irritation  of  the  respiratory  tracr, 
the  mucous  membrane  dry,  yerba  santa. 

Cough  from  asthma,  yerba  santa  and  grindelia  ro- 
busta  are  the  best  when  combined. 

Croup :  The  writer  has  found  iodized  calcium  (Ab- 
bott's) the  best  general  remedy  in  croup. 

Constipation :  The  causes  of  constipation  are  so  many 
and  the  treatment  accordingly  so  different  that  the  sub- 
ject has  been  omitted  here.  For  special  indication  of 
remedies  in  primary  form  see  in  second  part  of  this 
work  under  proper  heading.  However  external  applica- 
tions sometimes  are  useful  and  convenient,  especially  in 
small  children  and  infants.  Heated  castor  oil  if  applied 
thoroughly  to  the  bowels,  especially  over  the  navel,  often 
will  move  the  bowels  as  well  as  if  given  internally.  This 
should  not  be  made  a  habit. 

Convulsions :  In  fevers  and  where  there  is  marked 
determination  of  blood  to  the  head  (twitching  of  the 
eyelids  often  is  an  indication  of  onset)  use  gelsemium 
in  large  doses  frequently  repeated  until  symptoms  have 
fully  subsided.  May  give  from  5  to  15  drops  as  a  dose 
at  intervals  of  15  minutes  to  i  hour  until  effect  is  pro- 
duced. This  is  in  active  determination  of  blood  to  the 
head.  Where  there  is  no  determination  of  blood  to  the 
head,  perhaps  face  pale  or  more  of  a  dusky  appearance, 
showing  more  of  a  passive  condition  passiflora  inc.  is 


174  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

our  best  remedy,  especially  in  small  children  and  in- 
fants. It  must  be  given  in  large  doses  in  these  cases. 
For  a  child  of  12  years  %  to  K  teaspoonful,  repeated  in 
1/2  to  2  hours  if  necessary  until  relieved.  Where  rest- 
lessness precedes  the  attack,  seeming  to  start  in  the  ex- 
tremeties  cuprum  met.  6x  is  a  very  valuable  remedy. 
Violent  convulsions  with  opisthotonos,  patient  as  violent 
as  the  convulsions  use  cicuta  virosa  3od  or  even  the  200 
potency. 

Counter-Irritant'  One-third  part  oil  turpentine;  one- 
third  part  oil  linseed  (raw)  ;  one-third  part  olive  oil. 
Spread  on  flannel  and  apply.  Useful  application  in  croup, 
pneumonia,  inflammation  of  the  bowels,- etc.  Lobelia 
powder  (of  seed)  may  be  added  and  it  will  act  better, 
especially  in  croup  and  pneumonia.  A  counter-irritant 
that  is  useful  is  %  part  of  ground  mustard  seed,  to  y\ 
parts  linseed  ground  fresh.  Apply  to  parts  on  thin 
cloth. 

Cramps:  From  menses  starting  and  then  stopped  by 
a  cold  pulsatilla  and  cimicifuga  are  very  good  remedies 
if  combined.  Hot  mustard  foot  bath  is  good  also.  Hot 
salt  over  the  uterus  may  also  be  used  with  above. 

Craving  for  Alcohol:  If  severe  give  patient  compound 
tincture  of  myrrh,  ounce  I  ;  mix  voinica  gtt.  20,  the  dose 
of  this  being  10  to  15  drops  in  water.  This  will  relieve 
gnawing  and  irritation  in  the  stomach.  When  there  is 
marked  depression  of  spirit  10  to  30  drops  of. fluid  extract 
of  seed  of  kola  nut  is  very  good.  Spiritus  glandium  quer- 
cus  in  8  to  15  drop  doses  in  water  3  times  a  day,  in  many 
cases  has  cured  drunkards  and  enabled  them  to  be  tem- 
perate. 

Dropsy:  In  this  trouble  we  think  of  eonvalhrm  mn- 
jalis,  cratcTgus,  apocynum,  oxydendron  arboreum.  thlaspi 
bursa  pastoris. 

Delirium  Tremens :  Jamaica  dogwood  in  y2  to  i  tea- 
spoonful  doses  has  been  recommended.  Chloroform  51  ; 
dilute  alcohol  §xii ;  tincture  capsicum  ,>xiii.  Dose,  i  tea- 
spoonful  in  water.  Especially  useful  where  there  is 
marked  depression.  Extract  erythroxylon  coca  ovi ;  ex- 
tract celery  3iv;  fluid  extract  piscidia  erythrina  5iv. 


FORMULAS   AND  USEFUL   INFORMATION  175 

Hoffman's  anodyne  cj,  s.  to  4  ounces.  Dose,  2  teaspoon- 
fit  1  every  2  hours  until  sleep  is  produced,  then  later  I 
teaspoonful  every  3  to  5  hours  till  nervous  system  re- 
turns to  normal  condition.  Where  abstaining  from  stim- 
ulants after  a  drunk  may  cause  collapse,  capsicum  in  hot 
beef  tea  is  "a  useful  substitute.  Although  digitalis  must 
be  used 'with  care  and  its  cumulative  effects  watched,  in 
these  conditions  doses  that  would  otherwise  prove  fatal, 
are  beneficial.  The  dose  averages  about  ]/2  teaspoonful 
to  be  repeated  if  necessary  in  i  to  2  hours.  Patient  will 
get  relief  and  fall  asleep.  Never  give  opiates  in  delirium 
tremens. 

Diaphoretic  Powders :  Substitute  for  Dover's  pow- 
ders. Powdered  ascelpias  tuberosa,  ipecac  and  camphor 
combined  make  a  good  diaphoretic  powder.  Safer  than 
Dover's  powders,  gives  all  the  anodyne  and  sedative  ef- 
fects of  the  latter.  It  certainly  has  no  opiates  in  it  as 
Dover's  powders  have. 

'Dipsomania:  Gold  and  sodium  chloride  with  nitrate 
of  strychnine  is  one  of  our  best  treatments.  Atropine  is 
sometimes  indicated. 

Dressing  and  Dusting  Powder :  Ecliinacca,  grindelia 
robusta,  calendula  and  boracic  acid,  equal  parts,  well 
mixed,  makes  an  excellent  dressing  for  wounds,  ulcers, 
etc.,  where  a  dry  dressing  is  preferred.  It  is  far  superior 
to  iodbform.  All  the  ingredients  must  be  finely  powdered 
and  sifted. 

Dyspnoea:  Quebracho  has  often  proved  beneficial; 
its  action  being  on  the  air  passages.  Tarter  emetic  $x 
in  small  doses  is  very  good.  Xux  vomica  if  the  cause  is 
spinal  enervation.  Muriate  of  ammonia  often  is  ben- 
eficial. 

Diabetes:  In  diabetes  mellitus  we  think  of  syzygium 
jamb.  Also  in  diabetic  ulcers.  In  both  forms  of  diabetes 
we. think  of  rhus  aromatica,  helonias  or  borax.  Nitric 
acid  ^d  is  useful. 

Dysmenorrhoea :  If  from  obstruction,  pains  are  labor- 
like.  If  congestive,  pains  occur  mostly  in  front.  If  neu- 
ralgic, pains  come  and  go.  If  active  irritation  is  present 
pains  are  sharp,  often  darting  and  deep  pressure  over 


176  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

ovaries  or  uterus  increases  pain,  while  in  the  congestive 
condition  pains  are  dull  and  deep  pressure  ameliorates. 
In  neuralgic  form  we  think  of  cannabis  ind.  Magnesium 
phos.  2x  or  viburnum  opulus.  In  the  congestive  form  the 
above  may  give  relief  and  caulophvllum,  macrotys,  pul- 
satilla,  viburnum  prunifolium  are  often  indicated.  In 
some  cases  belladonna  is  indicated.  In  the  active  form 
we  find  bryonia,  gelsemium,  veratrum  viride  are  useful. 
It  should  always  be  taken  in  consideration  in  selecting 
remedies  if  flow  is  profuse  or  scanty. 

Ear,  Deafness:  Mullein  oil,  3  to  5  drops  in  the  ear 
morning  and  night  and  syringe  out  twice  a  week ;  this 
will  often  wonderfully  improve  hearing.  If  of  catarrhal 
nature  where  absorbtion  of  catarrhal  deposits  becomes 
necessary,  echinacea,  berberis  aquifolium,  alternated  with 
kali  mur  3x  is  good  treatment.  If  glandular  enlargement 
is  present  phytolacca  or  iris  versicolor  should  be  added. 
If  catarrhal  condition  of  larynx,  pharynx  is  present 
yerba  santa  is  a  valuable  adjunct  to  the  above.  Some- 
times we  find  collinsonia,  stillingia  or  chelidonium  val- 
uable. 

Ear:  Inflammation  of  the  middle  ear,  with  threatened 
perforation  and  abscess.  In  many  cases,  in  fact  in  most 
cases  this  can  be  aborted  in  the  early  stage  by  large  doses 
of  gelsemium;  watching  carefully  its  physiological  ac- 
tion so  as  not  to  carry  it  too  far.  The  throbbing  sensa- 
tion is  a  prominent  indication  for  gelsemium  in  these 
cases.  I  have  given  as  much  as  4  to  10  drops  every  l/2 
to  I  hour  until  relief,  then  smaller  doses  at  longer  inter- 
vals. Its  action  must  be  carefully  watched.  Echinacea 
may  be  given  in  medium  doses  with  it  and  in  larger  doses 
afterwards  to  prevent  suppuration,  check  inflammation 
and  favor  absorbtion  of  exu dates.  Kali  mur  3x  may  be 
alternated  with  it.  The  writer  believes  that  jaborandi 
is  a  good  remedy  if  given  in  large  doses  and  its  effect 
carefully  watched.  I  have  seen  other  conditions  with 
powerful  determination  of  blood  to  the  head  relieved  in 
a  very  short  time,  and  for  that  reason  believe  it  will  abort 
an  attack  in  the  early  stage,  if  given  in  8  to  15  drop 
doses  in  a  cup  of  hot  water  to  make  it  act  more  promptly. 


FORMULAS   AND  USEFUL   INFORMATION  177 

In  cases  where  the  depressing  effect  of  gelsemium  can- 
not be  borne  by  patient  it  may  be  associated  with  a 
little  mix  vomica  as  this  is  a  spinal  and  not  a  cerebral 
stimulant.  Where  an  acute  attack  is  followed  by  sup- 
puration of  the  middle  ear  echinacea  in  good  sized  doses 
is  our  best  remedy.  The  writer  generally  associates  it 
with  yerba  santa.  This  may  be  alternated  with  kali  mur. 
3x.  A  cure  is  generally  effected  in  a  short  time,  unless 
there  is  a  lack  of  lime  salts  in  the  system,  when  calcium 
sulphide  ix  or  calcium  sulphite  ix  and  perhaps  calcium 
phos.  2x  should  be  given.  Where  glands  are  inflamed 
phytolacca  should  also  be  given.  Thuja  o.  3od  is  useful 
in  some  cases  of  suppuration  of  the  ears  as  well  as  in 
polypi  of  the  ears. 

Earache:  Make  a  funnel  of  paper,  insert  small  end 
in  ear  and  place  a  small  piece  of  cotton  saturated  with 
chloroform  in  the  wide  part  of  the  funnel.  This  will  gen- 
erally give  relief.  In  severe  pain,  especially  with  en- 
gorgement and  danger  of  inflammation,  I  part  of  hot 
vinegar  to  I  or  2  parts  of  hot  water;  poured  into  the  ear 
as  hot  as  can  be  borne  without  scalding  often  relieves 
where  other  local  treatment  fails.  Mullein  oil  dropped 
in  the  ear  and  repeated  if  necessary  is  very  useful.  Ear- 
ache, especially  inflammatory,  can  be  relieved  by  the 
internal  use  of  sp.  valerian,  especially  if  caused  by  cold, 
draughts,  cold  winds,  etc.  Drop  10  to  20  drops  in  2 
ounces  of  water  and  give  ]/2  to  I  teaspoonful  every  15 
minutes  to  I  hour  as  the  severity  of  the  case  demands. 
When  easier,  give  at  longer  intervals  and  in  smaller 
doses  until  condition  is  corrected.  The  internal  treat- 
ment may  be  supplemented  by  any  of  the  local  treat- 
ments mentioned. 

Ear:  Bugs  or  other  insects  in  the  ear  may  be  re- 
moved by  holding  ear  up  and  letting  olive  oil  run  into  it. 
To  remove  hardened  wax,  put  i  teaspoonful  of  bicarbon- 
ate of  soda  in  ]/2  cup  of  warm  water.  With  this,  syringe 
out  the  ear.  This  will  generally  dissolve  it.  Glycerine 
and  water  equal  parts,  of  which  a  few  drops  should  be 
dropped  in  the  ear  at  night,  closing  it  up  with  cotton, 
will  generally  dissolve  the  wax  by  next  morning.  In 


178  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

cases  where  beans  or  peas  have  been  introduced  into 
the  auditory  canal  and  cannot  be  extracted,  or  the 
swelling  prevents  extracting,  carica  papaya  is  the  best 
solvent  we  have.  The  writer  uses  a  preparation  of  the 
above  called  papain  in  5%  solution  injected  into  the 
ear  4  to  6  times  a  day.  This  will  dissolve  them  in  I  to 
2  days.  This  also  applies  to  obstruction  of  the  nose  from 
the  same  cause. 

Eczema:  l>erberis  aquif.,  lappa  off.,  sulphide  of  cal- 
cium, rhus  tox.,  or  echinacea  are  good  internal  remedies. 
In  the  -acute  stage  vaseline  or  olive  oil  is  useful  locally. 
In  the  subacute  or  chronic  stage  tar  is  one  of  our  best 
external  remedies,  made  into  an  ointment  with  lanoline, 
but  not  too  strong.  A  salve  of  sulphur,  pine  tar 
and  lanoline  is  also  very  good.  Juniper  pomade  is  rec- 
ommended by  many. 

Enuresis:  Mullein  oil  in  3  to  5  drop  doses  3  times  a 
day  is  highly  recommended.  Where,  from  weakness  of 
the  bladder  and  urinary  apparatus,  the  urine  passes  on 
coughing  or  sneezing,  thuja  is  a  good  remedy.  In  chil- 
dren plantago  major  is  almost  a  specific.  Rhus  aromat- 
ica  is  a  fine  remedy  in  children  and  grown  people.  In 
dribbling  of  the  urine  in  the  young  and  old  thuja  in  small 
doses  is  very  useful.  Excessive  flow  of  urine  is  benefited 
by  3  to  5  grain  doses  of  boracic  acid  2  to  4  times  a  day. 
Rhus  aromatica  or  thuja  are  very  good  in  these  condi- 
tions. In  some  cases  we  will  find  gelsemium  indicated, 
in  others  again  belladonna,  especially  in  dribbling  of 
urine.  In  pregnant  women  where  there  is  a  constant  de- 
sire to  urinate,  the  urine  passing  with  each  effort,  eupa- 
torium  pur.  is  very  good.  If  patient  is  nervous  associate 
pulsatilla  with  it.  In  the  young,  we  often  find  that  in- 
continence of  urine  is  caused  by  too  tight  or  too  long 
foreskin  in  the  male  and  irritated  and  hooded  clitoris  in 
the  female. 

Epistaxis :  Peroxide  of  hydrogen  injected  into  the 
nose  or  a  plug  of  cotton  saturated  with  it  and  inserted 
into  the  nose  is  one  of  our  best  remedies.  A  string  tied 
around  the  small  finger  on  the  side  where  the  nose  bleeds 
is  a  cheap  and  very  effective  way  of  checking  nose  bleed. 


FORMULAS   AND  USEFUL   INFORMATION  179 

.Must  be  tied  very  tight  and  left  for  a  little  while,  but 
not  long'  enough  to  cause  bluish  tinge  of  the  finger. 
Powdered  geranium  snuffed  up  the  nose  is  very  good. 
Lycopus  internally  is  useful.  Ergot  internally  in  doses 
of  l/4  to  y2  teaspoonful  is  generally  effective.  Oil  of 
erigeron  is  good  locally  and  internally.  Melilotus  2d 
internally  is  useful.  In  some  cases  where  loss  of  blood 
lias  been  great  we  find  carbo  veg  I2x  a  useful  adjunct. 
For  general  tendency  to  epistaxis  achillea  m.  is  claimed 
to  be  of  value. 

Erysipelas:  Rhus  tox.  is  a  valuable  remedy  and  may 
be  given  in  good  sized  doses.  Echinacea  may  be  com- 
bined with  it  to  great  advantage.  Baptisia  is  sometimes 
indicated.  If  more  of  a  bluish  color,  iron  is  indicated.  In 
some  cases  belladonna  has  been  used  with  success;  in 
these  cases  prominent  indications  are  present  for  the 
drug. 

Expectorant :  Difficult  expectoration.  Vinegar  oii ; 
sanguinaria  oiss ;  simple  syrup  ^iiiss.  Dose,  i  teaspoon- 
ful every  2  to  3  hours.  Useful  in  membranous  laryngitis, 
etc.  Do  not  give  often  enough  to  produce  emesis. 

Expectorant :  Syrup  of  prunus  vir.  §i ;  syrup  of  sen- 
ega §i ;  comp.  tinct.  of  myrrh  and  capsicum  No.  6  oii. 
Dose,  i  teaspoonful  every  3  hours.  This  is  the  best 
stimulating  tonic  and  alterative  expectorant  in  use. 
Useful  also  where  the  mucous  membrane  is  much  re- 
laxed. 

EYE. 

A  few  diagnostic  symptoms  of  value,  will  pre- 
cede the  general  treatment.  Conjunctivitis  is  never  with- 
out secretion.  In  inflammation  of  lachrymal  sac,  pain  or 
pressure  over  sac  is  very  severe,  which  would  not  be  the 
case  in  erysipelas.  Hordeolum  always  forms  an  abscess, 
while  chalazion  will  never  form  an  abscess.  A  diag- 
nostic symptom  of  iritis  is  immobility  of  the  pupil'.  'If 
there  is  posterior  adhesion,  there  is  irregularity  of  the 
pupil. 

In    a    work    like    this    it    is    impossible    to    give    a 


ISO  MATERTA  MED1CA  AND  CLINICAL  THERAPEUTICS 

comprehensive  treatise  on  the  eyes ;  still  a  certain  amount 
of  explanation  is  necessary  to  make  the  subject  clear. 

Mydriatics  dilate  pupils  abnormally  and  are  therefore 
indicated  in  conditions  where  there  is  minus  tensio.ii. 
The  remedies  indicated  are  atropine  and  cocaine.  These 
may  be  used  in  i  or  2%  solution.  They  should  never 
be  used  too  long  or  too  often.  Mydriatics  are  contra- 
indicated  in  very  young  children  and  in  people  over  40 
years.  In  these  cases  it  may  produce  glaucoma.  TliQ 
long  and  continued  use  of  mydriatics  may  produce  glau- 
coma at  any  age.  Atropine  is  the  remedy  in  minus  ten- 
sion, but  is  contra-indicated  in  glaucoma  and  inflamma- 
tion of  the  iris.  It  is  the  remedy  in  all  intraocular 
troubles  except  above-mentioned. 

Myotics:  Contract  pupils  abnormally,  therefore  may 
be  used  where  there  is  plus  tension.  Eserine  and  pil- 
acarpine  are  myotics  and  the  latter  is  preferable  if  ef- 
fective enough.  The  former  is  generally  used  in  I  or 
il/2%  solution;  the  latter  as  a  2%  solution. 

Conjunctivitis:  In  order  not  to  be  mistaken  in  diag- 
nosis, it  should  be  remembered  that  there  is  never  con- 
junctivitis without  secretion.  In  the  various  forms  of 
conjunctivitis  nitrate  of  silver,  zinc  sulphate  and  Goul- 
ard's solution  answer  all  purposes  and  certainly  are 
much  more  prompt  and  satisfactory  than  the  many  so- 
lutions of  various  tinctures  recommended.  In  using 
these  preparations  care  should  be  taken  not  to  make  mis- 
takes as  to  stage  and  condition  of  the  trouble.  In  the 
acute  stage  or  purulent  form  a  2%  solution  of  nitrate  of 
silver  should  be  used.  That  is  2%  solution  is  considered 
average  and  may  be  made  weaker  or  a  little  stronger 
as  the  case  demands.  Many  prefer  protargol  to  nitrate 
of  silver  in  this  stage.  In  the  subacute  or  chronic  form 
nitrate  of  silver  or  protargol  have  no  value.  In  the  sub- 
acute  or  chronic  form  zinc  sulphate  in  i  or  2%  solution 
is  a  good  remedy.  In  the  chronic  form  Goulard's  solu- 
tion of  lead  is  certainly  the  best.  Generally  i  part  is 
added  to  10  parts  of  water.  In  severe  cases  it  must  be 
used  stronger.  In  very  old  and  severe  cases  it  may  even 
be  used  in  full  strength  at  first,  then  reduce  strength 
gradually  to  the  average  of  i  part  to  9  parts  of  water.  In 


FORMULAS  AND  USEFUL  INFORMATION  l8l 

the  healthy  eye  Goulard's  solution  will  produce  inflam- 
mation. 

To  avoid  purulent  conjunctivitis  in  new  born 
children  where  vaginal  infection  is  suspected  a  2%  solu- 
tion of  nitrate  of  silver  instilled  into  the  eyes  is  a  good 
and  safe  remedy. 

Iritis  of  serious  nature  use  mydriatics  locally  and 
tonics  internally  to  build  up  system. 

Iritis  of  plastic  nature  use  prompt  means  to  stop  plas- 
tic exudation.  Think  of  ice  applications  locally.  Inter- 
nally, mercury,  or  echinacea  in  very  large  doses. 

Grindelia  robusta  is  a  good  remedy  in  milder 
and  non-purulent  iritis  and  general  inflammation  of  the 
eyes.  Grindelia  robusta  oiii ;  aqua  pura  ,^iv.  Soak  a  thin 
cloth  in  solution,  then  apply  to  the  eyes  and  keep  wet. 

Purulent  ophthalmia,  argentum  nit.  3od  is  our  best 
remedy. 

In  keratitis  atropine  is  a  good  remedy.  In  scrofulous 
keratitis,  iodine  may  be  used. 

Glaucoma:  Electricity  will  improve  nutrition.  In 
acute  or  primary  stage  eserine  is  curative.  In  the 
secondary  stage  it  is  only  helpful! 

Ulcerated :  i  part  eucalyptus  tincture  to  8  parts 
of  distilled  water.  Drop  in  the  eye  several  times  a  day, 
will  generally  cure  in  a  few  days. 

Granulated  lids:  Shear  off,  paint  on  Goulard's 
solution  of  lead.  In  very  old  cases  full  strength  may  be 
applied.  In  milder  cases  and  recent  cases  use  it  diluted. 
In  the  healthy  eye  Goulard's  solution  will  cause  inflam- 
mation. 

To  remove  foreign  body  from  eye,  place  a  flax- 
seed  or  linseed  in  the  inner  corner  of  the  eye.  This  often 
will  be  successful  and  is  a  simple  remedy. 

In  the  early  stage  of  cataract,  euphrasia  off.  and 
small  doses  of  bryonia  internally  may  effect  a  cure  or 
arrest  the  trouble.  This  same  treatment  is  often  ef- 
fective in  pterygium.  Corneal  opacities  and  cataract  oi 
the  lenticular  and  capsular  forms  may  be  greatly  ben- 
efited and  in  many  cases  a  cure  effected  by  instilling  I 
to  2  drops  of  cineraria  maritima  (Succus)  into  the  eye 


l82  MATERIA  MEDIC  A  AND  CLINICAL  THERAPEUTICS 

morning  and  night.  It  causes  the  dissolution  of  the 
opaque  matter  and  favors  its  absorption.  This  may  be 
assisted  by  internal  administration  of  bryonia  and 
euphrasia  as  stated. 

The  severe  pain  in  iritis  may  be  modified  by 
the  internal  administration  of  bryonia  and  euphrasia. 
This  will  wonderfully  assist  the  local  treatment. 

Manual  treatment  to  the  eyes  will  relieve  or 
cure  many  wrongs  of  vision  and  condition  if  properly 
applied  to  stimulate  circulation  to  the  parts  where  de- 
ficient. Manipulate  carefully  to  equalize  circulation  and 
the  action  of  the  muscles.  Close  the  eye  with  thumb 
and  finger  and  make  inward  pressure  or  rather  passes 
over  eye  10  to  15  times,  with  a  firm  but  gentle  touch. 
Repeat  for  some  time.  This  has  cured  many  cases  of 
errors  of  refraction.  To  remedy  hyperopia  close  eyes 
gently,  press  with  thumbs  and  fingers  on  each  side  and 
repeat  as  before.  A  good  osteopath ic  treatise  on  the  eye 
should  be  in  the  hands  of  every  physician.  Many  cases 
of  atrophy  of  the  optic  nerve,  resulting  in  blindness, 
could  be  cured  by  stretching  of  the  optic  nerve.  This  can 
be  done  by  pressing  the  eyeball  outward  carefully  once 
a  day  for  some  time.  It  takes  a  man,  however,  who  is 
fully  versed  in  the  anatomy  of  the  eye  and  a  good  ma- 
nipulator to  get  good  results. 


FORMULAS  AND  USEFUL   INFORMATION  183 

Fevers  and  Inflammation  in  General. 

Aconite :  Pulse  small  and  frequent.  In  most  cases 
where  aconite  is  indicated  ferrum  phos.  3x  will  act  favor- 
ably and  is  less  depressing. 

Belladonna :  The  remedy  in  passive  congestion  in 
the  brain  centers.  Face  dull,  pupils  dilated,  patient 
drowsy  and  sleepy. 

Bryonia :  Pulse  hard  and  vibratile.  Especially  useful 
in  inflammation  of  the  serous  membranes. 

Gelsemium :  The  remedy  in  irritation  in  the  brain 
centers  with  determination  of  blood  to  the  head.  Face 
flushed,  head  hot;  pupils  contracted. 

Jaborandi :  In  sthenic  conditions  where  pulse  is  full 
and  strong,  it  will  reduce  the  temperature.  Should  it 
cause  too  free  perspiration  and  debility,  belladonna  will 
counteract  this  effect. 

Veratrum  Viride :  Pulse  full  and  strong,  in  sthenic 
conditions  in  the  early  stage  of  fevers. 

Feet,  Sweating  of :  Rub  my  salve  No.  I  on  feet  twice 
a  week  first  week,  then  every  other  day  and  finally  every 
day  until  cured,  then  gradually  decrease.  The  best  time 
to  apply  is  before  retiring  at  night.  Internally  give  sil- 
ica 3x  or  6x. 

Felon :  May  be  aborted  before  pus  has  formed  with 
local  sedatives  such  as  lobelia  or  veratrum  viride.  Anti- 
phlogistine  or  dehydratine  generally  act  more  promptly 
than  above.  If  pus  has  formed  lancing  becomes  neces- 
sary with  the  proper  antiseptic  after  treatment.  Intern- 
ally echinacea,  bryonia,  calcium,  kali  mur.  3x,  phytolacca, 
are  useful  to  favor  absorbtion  and  prevent  pus  forma- 
tion. To  alleviate  pain  tarantula  cub.  3od  is  very  good. 

Flatulence:  Magnesium  phos.  2x  is  very  useful  in 
doses  of  2  to  3  grains.  If  taken  in  y±  or  y2  tumbler  of 
hot  water  it  acts  more  promptly,  to  be  repeated  in  y2  to 
I  hour  if  necessary.  Carbo  veg.  ix  in  10  to  15  grain  doses 
is  useful  in  some  cases.  Where  there  is  involvement  of 
the  liver  in  the  so-called  bilious  colic,  with  flatulence, 
dioscorea  villosa  is  very  good,  10  to  20  drops  in  hot 


184  MATERIA    MEDICA  AND  CLINICAL  THERAPEUTICS 

water,  to  be  repeated  in  ^2  to  I  hour  if  necessary.  Where 
the  fermentation  in  the  stomach  is  marked  papain  is  use- 
ful say  2  to  3  grains  in  water  before  meals.  Hydrozone 
and  glycozone  are  also  of  value.  Where  there  is  marked 
atony  of  the  gastro-intestinal  tract  stimulants  such  as 
nux  vomica,  aromatic  spirits  of  ammonia,  xanthoxylum, 
etc.,  are  in  place. 

Gall  Stones:  Podophyllum  in  large  doses  is  very 
good.  When  it  operates  give  6  ounces  of  pure  olive  oil. 
Olive  oil  alone  is  useful  and  effective  in  many  cases. 
Dioscorea  vil.  is  probably  our  best  remedy,  but  must  be 
given  in  large  doses.  Nux  vomica  may  be  associated 
with  above  if  stimulants  are  indicated.  If  there  is  fever 
aconite  should  be  alternated  with  dioscorea  villosa.  To 
relieve  pain  piscidia  erythrina  should  be  given  in  large 
doses.  Chelidonium  will  correct  the  tendency  to  for- 
mation of  gall  stones.  Chionanthus,  leptandra,  podop- 
phyllum,  etc.,  are  often  indicated. 

Gastritis  Chronic :  Carica  papaya  2  to  3  grains  taken 
at  meals  in  a  little  water  is  good  treatment.  The  writer 
uses  in  these  cases  the  papain  (L.  &  F.)  which  is  a  prep- 
aration of  the  carica  papaya.  Hydrastis  and  subnitrate 
of  bismuth  are  useful  in  many  cases.  Hydrozone  and 
glycozone  if  continued  for  some  time  are  useful.  As 
the  causes  of  this  condition  are  so  varied  and  often  ob- 
scure, when  other  remedies  are  indicated  they  should 
be  given  a  good  trial.  Galvanic  current  is  of  benefit  in 
many  cases;  negative  pole  on  abdomen  over  stomach; 
positive  pole  in  hand  or  on  the  back. 

Goitre:  Iris  and  phytolacca  of  each  2  to  5  drops  3  to 
4  times  a  day  is  very  good.  Fucus  vesiculosus  often 
cures  where  other  remedies  fail.  Strophantus  may  be 
alternated  to  advantage  with  above  remedies,  especially 
where  stimulation  of  the  heart  is  indicated. 

Goitre  Exophthalmic:  Try  iron,  sulphur  and  lime  in 
small  doses.  Lycopus  and  fucus  vesiculosus  are  very 
good  remedies  in  this  condition. 

Hemorrhoids :  The  veins  that  may  be  involved  in 
hemorrhoids  belong  to  two  plexuses,  which  do  not  anas- 


FORMULAS  AND  USEFUL   INFORMATION  185 

tomose  with  each  other  ordinarily.  The  plexus  situated 
in  the  lower  part  of  the  rectum,  the  so-called  external 
plexus  extends  up  i  inch  and  the  blood  from  this  re- 
turns by  the  middle  and  inferior  hemorrhoidal  veins  to 
the  iliac  veins  and  then  to  the  inferior  vena  cava,  thus 
reaching  the  heart.  Therefore  outside  of  the  general 
causes  such  as  overdistention  of  rectum,  constipation, 
gravitation,  strain,  etc.,  we  have  to  consider  the  possibil- 
ity of  pressure  on  the  iliac  vein  or  inferior  vena  cava  by 
tumor  or  other  mechanical  pressure,  or  in  women  by 
a  gravid  uterus.  The  internal  or  so-called  superior 
plexus,  extends  from  one  inch  inside  rectum,  up.  From 
this  part  the  blood  returns  by  way  of  the  portal  vein, 
passing  through  the  liver.  Therefore  in  the  latter,  out- 
side the  usual  causes  named,  such  as  prolonged  strain  at 
stool,  constipation,  overdistention,  etc.,  a  great  cause  is 
the  retardation  of  the  return  flow  of  the  blood  by  way 
of  the  portal  vein,  in  portal  obstruction,  which  may  be 
caused  by  disease,  enlarged  organs,  tumors  or  overdis- 
tention of  the  alimentary  canal.  For  above  reasons  it 
is  apparent  that  if  we  exclude  mechanical  pressure  as 
stated,  that  involvement  of  the  external  plexus,  the 
properlv  indicated  remedies  for  external  hemorrhoids 
should  be  complimented  with  the  proper  heart  tonics. 
If  the  internal  plexus  is  involved  we  should  think 
of  remedies  acting  on  the  portal  circulation  with  the 
properly  indicated  remedies  for  internal  hemorrhoids. 
As  all  these  conditions  are  as  a  rule  of  a  congestive  na- 
ture the  proper  line  of  remedies  should  suggest  them- 
selves. Where,  however,  there  is  marked  constriction 
of  the  sphincter  muscles  graduated  dilators  should  be 
used.  Where  the  portal  circulation  is  at  fault  polymnia 
u.,  ceanothus  am.,  chionanthus,  carduus  marianus  are 
valuable  remedies  to  assist  other  indicated  remedies. 
Where  the  heart  is  at  fault,  crataegus,  digitalis  2nd,  cac- 
tus, etc.,  are  useful.  You  may  use  collinsonia,  aesculus 
hip,  calcarea  flour.  3x.  Hamamelis  is  useful.  Negun- 
dium  americanum  or  box  elder  has  been  highly  recom- 
mended of  late,  taken  internally  as  an  infusion.  In 
many  cases  sulphur  2x  or  3x  is  useful.  As  local 
means  we  think  of  salves  made  of  vaseline,  hama- 


l86  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

melis,  thuja,  chelidonium,  stramonium  seed,  etc.,  as  case 
demands. 

Hemorrhages  in  General :  In  absence  of  inflammation 
of  the  gastro-intestinal  tract  tincture  of  cinnamon  in 
5  to  20  drop  doses  is  a  very  useful  remedy,  especially  in 
uterine  hemorrhages.  In  many  forms  of  passive  hemor- 
rhage, oil  of  cinnamon  5i ;  oil  of  erigeron  3i ;  alcohol  ^ii ; 
make  a  good  combination.  Dose,  10  to  20  drops  on 
sugar  or  with  a  little  water.  This  is  also  very  useful 
in  uterine  hemorrhages.  Passive  intestinal  hemorrhages 
are  generally  corrected  by  hamamelis  or  vegetable  char- 
coal. In  active  hemorrhages,  especially  of  lungs,  uterus, 
or  from  nose,  ergot  acts  perhaps  more  promptly  than 
most  other  remedies.  Lycopus  v.  is  useful  in  hem- 
orrhages of  the  lungs.  Our  two  safest  emergency  reme- 
dies no  doubt  are  ergot  and  cinnamon.  In  persistent 
menorrhagia  from  general  weakness  and  weakness  of 
the  lining  of  the  uterus  as  well  as  capillaries  capsella 
bursa  pastoris  is  our  best  remedy.  Dose,  i  to  2  drachms 
in  4  ounces  of  water,  I  teaspoonful  3  to  4  times  a  day  and 
if  necessary  every  I  to  2  hours.  In  cases  where  hard 
exertion  brings  on  the  flow,  often  the  result  of  abortion, 
this  is  a  grand  remedy. 

Hemorrhage,  Post-partum :  Hot  water  is  very  good ; 
but  it  should  not  be  above  125  degrees  fahrenheit,  as 
there  is  danger  of  paralysis  of  the  muscles  .of  the  uterus 
on  account  of  the  extreme  heat.  The  water  should  not 
be  below  115  degrees  fahrenheit,  as  hike  warm  water  will 
increase  hemorrhage  by  stimulating  flow  of  blood  to  the 
uterus.  Placenta  should  be  removed  as  quickly  as  pos- 
sible. Hot  water  and  vinegar  of  each  I  part  is  our  best 
local  means  of  arresting  hemorrhage  of  the  uterus.  A 
clean  piece  of  lint  or  a  plug  made  of  absorbent  cotton 
saturated  with  the  vinegar  and  water  should  be  inserted 
in  the  vagina  and  pressed  to  the  mouth  of  the  uterus,  and 
repeated  until  checked.  If  very  severe  a  plug  of  ab- 
sorbent cotton  saturated  with  vinegar  and  water  should 
be  introduced  into  the  uterus,  which  generally  promptly 
checks  the  flow.  As  a  safeguard  the  writer  always  adds 
a  little  antiseptic  to  the  water  and  vinegar  and  thus 
avoids  the  danger  of  infection.  Internally  at  the  same 


FORMULAS  AND  USEFUL   INFORMATION  187 

time  ergot  should  be  given.  To  stimulate  as  well  as  to 
cause  uterine  contraction  nitroglycerine  or  strychnine 
should  be  given  by  mouth  if  possible  or  else  as  hypoder- 
mic injection. 

Hernia :  If  reducible,  quercus  alba  §i ;  acid  carbolic 
gtt.  xv.  Inject  in  hernia  5  to  8  drops,  around  ring  and 
down  the  canal.  Truss  has  to  be  worn  about  30  days. 

Hiccough :  Magnesium  phos.  2x  in  .2  to  4  grain  doses, 
repeated  every  15  to  60  minutes  if  necessary  is  our  best 
remedy;  10  to  15  drops  of  eupatorium  perfoliatum  in  an 
infusion  of  capsicum  every  hour  acts  favorably  in  many 
cases.  In  relaxed  condition  hot  infusion  of  capsicum  is 
useful. 

Hoffman's  Anodyne :  Sulphuric  ether  *i ;  alcohol  §ii. 
Dose,  i  teaspoonful  until  relief  is  obtained.  It  is  an  anti- 
spasmodic  and  pain  reliever.  Also  useful  to  relieve  pain 
during  passage  of  biliary  or  urinary  calculi. 

Hot  Drops  No.  6:  or  compound  tincture  of  capsicum 
and  myrrh :  Capsicum  I  ounce ;  powdered  gum  myrrh 
i  Ib. ;  alcohol  95%  I  gallon.  Steep  10  days  and  then  filter. 
Dose,  2  to  20  drops  every  3  hours. 

Hydrocele :  One  drachm  of  carbolic  acid  mixed  with 
a  little  glycerine  is  a  remedy  recommended  by  some 
authorities.  Thuja  is  recommended  by  others.  To  be 
used  as  an  injection  into  the  hydrocele. 

Influenza:  As  influenza  is  an  asthenic  condition,  de- 
pressants should  be  avoided.  Nux  vomica  in  small  doses 
is  our  best  remedy.  This  should  be  associated  with  or 
alternated  with  other  indicated  remedies.  Where  there 
is  much  soreness  or  pain  in  the  back  add  cimicifuga;  if 
there  is  restlessness  and  nervousness  add  rhus  tox;  pain 
in  joints  and  on  movement  add  bryonia;  with  determin- 
ation of  blood  to  the  head  and  high  fever  a  little  gelsem- 
inm  should  be  added.  Kali  mur.  3x  is  a  valuable  adjunct 
in  all  cases,  especially  so  where  the  lungs  are  involved. 
For  aching  pain  a]l  over  eupatorium  per.  I2d  is  useful. 
If  the  pain  is  of  a  drawing  nature,  with  sore  throat  and 
hoarseness  causticum  3od  is  a  good  remedy.  For  left 
sided  headache  spigelia  an.  3d  should  be  used.  For  right 
sided  headache  kalmia  1.  6d  should  be  used.  If  eyes 
water  and  are  red  and  secretion  acrid  give  euphrasia  off. 


l88  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

If  nose  waters  and  the  secretion  is  acrid  give  allium  cepa 
3d.  If  there  is  much  pain  in  abdomen,  especially  in  the 
stomach  colocynthis  2d  generally  gives  relief ;  or  euca- 
lyptus oil  (Merrill's)  in  3  drop  doses  in  capsules  gener- 
ally corrects  this  condition.  If  there  is  diarrhoea  use  indi- 
cated remedies. 

Impotence :  Senecio  is  good  as  a  general  sexual  tonic. 
Damiana  in  doses  of  l/\.  teaspoonful  gradually  increased 
to  two  teaspoonfuls  at  a  dose,  3  to  4  times  a  day  until 
effect  is  produced  and  then  gradually  decreased,  is  a  fine 
remedy.  It  may  be  associated  or  alternated  with  saw 
palmetto.  The  latter  being  especially  useful  if  there  is 
any  enlargement  of  the  prostate  or  wasting  of  the  testi- 
cles. Muirapuama  is  claimed  to  be  a  good  aphrodisiac. 
It  is  given  the  same  as  damiana  but  the  dose  is  only  one- 
half  that  of  the  latter.  Phosphorus,  mix  vomica,  ignatia 
amara,  sulphur,  helonias  and  aurum  are  also  useful.  In 
the  treatment  of  this  condition  we  should  bear  in  mind 
that  if  a  person  appears  to  be  robust  otherwise  and  not 
debilitated  stimulants  are  not  harmful ;  but  where  there 
is  a  condition  of  debility  and  perhaps  anaemia  stimulants 
to  the  sexual  function  are  harmful.  In  these  latter  con- 
ditions such  remedies  as  mix  vomica,  strychnine,  etc.,  are 
not  beneficial.  In  men,  not  debilitated,  ligation  of  the 
dorsal  vein  in  the  penis  is  claimed  to  be  the  best  treat- 
ment by  one  authority.  A  short,  longitudinal  incision 
through  the  skin  is  made,  also  through  the  subcutaneous 
tissue,  down  to  the  dorsal  vein,  pick  up,  ligate  in  two 
places  and  then  cut  between  ligature.  Avoid  coition  un- 
til healed,  say  3  to  5  weeks.  In  women  a  very  good  local 
application  to  strengthen  and  tone  up  the  sexual  organs 
are  pastilles  made  of  saw  palmetto  and  cocoa  butter.  In- 
sert one  every  other  night,  pushing  the  pastille  up  to  the 
mouth  of  the  uterus.  Will  relieve  sexual  debility  and 
a  relaxed  condition  of  the  vagina.  Saw  palmetto  taken 
internally  at  the  same  time,  acts  as  a  tonic  to  the  repro- 
ductive organs  and  promotes  the  growth  of  the  mammae. 

Insomnia :  If  too  much  blood  in  the  head  is  the  cause, 
a  cup  of  hot  water  taken  before  retiring  may  be  of  use. 
.Gelsemium  is  useful  where  there  is  marked  determination 
of  blood  to  the  head,  active  congestion.  If  from  over- 


FORMULAS  AND  USEFUL   INFORMATION  189 

exhaustion  we  think  of  stimulants  such  as  mix  vomica, 
etc.  Piscidia  erythrina  is  useful  in  many  cases.  Passi- 
flora  inc.,  avena  sativa,  cannabis  inclica,  hyoscyamus, 
cypripedium,  scutellaria,  etc.,  all  have  their  value,  if  in- 
dicated, either  alone  or  two  or  more  combined. 

Inflammation,  Local:  If  skin  is  unbroken  veratrum 
v.  is  useful.  Echinacea  is  also  very  good.  If  swollen, 
lobelia  may  be  added.  If  the  parts  need  toning  we  think 
of  hamamelis  or  arnica.  A  little  antiseptic  solution  may 
be  added  to  any  of  the  above.  Antiphlogistine  or  dehy- 
dratine  are  perhaps  our  best  local  applications  in  these 
conditions.  If  skin  is  unbroken  aconite  will  act  best 
where  there  is  considerable  pain  ;  use  a  solution  of  20 
drops  of  specific  aconite  to  2  to  4  ounces  of  water.  Apply 
to  parts  and  renew  when  necessary.  Where  the  skin  is 
unbroken  libradol  is  useful  as  a  local  application,  should 
be  removed  if  nausea  results. 

Labor,  to  Ease :  To  make  labor  less  painful  mitchella 
rcpcns  should  be  used  for  the  last  2  or  3  months  of  preg- 
nancy. It  should  be  taken  in  3  to  5  drop  doses  2  or  3 
times  a  day.  Towards  the  end  even  larger  doses  may 
be  given.  This  makes  labor  less  painful  and  less  danger- 
ous. The  diet  should  be  such  that  the  bones  of  the  child 
will  remain  softer  and  be  more  pliable.  This  can  be  done 
by  excluding  the  bone  forming  substance  as  much  as 
possible,  especially  so  the  last  3  or  4  months;  therefore 
nutriment  which  contains  a  great  deal  of  bone  forming 
substance  should  be  excluded.  If  there  is  any  weakness, 
viburnum  prunifolium  taken  for  some  time  will  generally 
relieve  the  trouble.  This  also  acts  favorably  where  there 
is  pain  or  capillary  hemorrhage  in  the  lower  extremeties, 
the  result  of  mechanical  pressure.  This  is  generally 
caused  by  weak  and  relaxed  condition  of  the  uterus  and 
its  appendages. 

Ligatures :  Unprepared  cat  gut  oo  the  finest  to  6  are 
the  sizes  mostly  used.  No.  o  being  best  for  general  su- 
tures, and  the  ligation  of  small  vessels.  No.  5  and  6  are 
too  large  for  suturing  and  are  used  mainly  for  ligation  of 
large  vessels.  Perfect  sterilization  must  be  carefully 
looked  after. 


I9O  MATERIA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Liniment:  Oil  of  mustard  expressed  16  ounces;  oil  of 
camphor  6  ozs. ;  oil  of  hemlock  6  ounces ;  oil  of  lavender 
flowers  Y*  ounce ;  oil  of  rosemary  Y*  ounce.  The  writer 
has  found  this  combination  to  make  a  good  general  lin- 
iment. 

Liniment :  One  teaspoonful  capsicum ;  i  teaspoonful 
of  salt;  i  pint  vinegar;  *4  pint  alcohol.  Useful  in  pains, 
sprains,  etc. 

Liniment:  Oil  of  turpentine  i  pint;  strong  apple  vin- 
egar i  pint;  oil  of  sassafras  i  ounce;  oil  cajuput  i  ounce; 
the  yolks  of  3  or  4  eggs.  Shake  well.  A  good  liniment 
for  noninflammatory  rheumatism,  sprains,  burns,  etc. 

Liniment:  Chlorform  6  drachms;  tincture  aconite  i 
drachm ;  spirits  of  camphor  4  drachms ;  glycerine  to  make 
4  ounces.  Rub  on  parts  well.  A  good  pain  reliever. 

Liniment:  Oil  of  turpentine  4  drachms;  oil  cajuput 
4  drachms;  oil  olive  2  ounces.  Apply  with  gentle  fric- 
tion. 

Liniment:  Compound  stillingia :  Oil  of  stillingia  2 
drachms  :  oil  of  cajuput  i  drachm  ;  oil  of  lobelia  y2  ounce  ; 
alcohol  i  ounce.  Apply  locally.  In  croup  it  may  be  well 
rubbed  into  the  chest  and  neck.  This  is  a  favorite  local 
application  in  croup. 

Liniment:  Ten  drops  of  oil  of  stillingia  to  4  ounces  of 
alcohol  makes  a  strong  counter-irritant.  Apply  once  or 
twice  locally. 

Lung  Syrup :  A  good  remedy  in  run  down  constitu- 
tions, lung  trouble,  cough,  consumption,  especially  if 
alkalies  are  indicated,  is :  Tincture  euonymus  5iv ;  tinc- 
ture ptelea  oiv;  syrup  of  hypophosphites  §iv.  Dose,  i 
teaspoonful  3  times  a  day.  The  syrup  of  hypophosphites 
of  lime  and  potash  is  to  be  preferred. 

Lung  Syrup :  Tinct.  lobelia  gtt.  xxx ;  tincture  sangui- 
naria  gtt.  x;  syrup  of  tolu  or  primus  virg.  f*iv.  Dose,  i 
teaspoonful  every  I  to  3  hours.  Where  stimulation  is  in 
place  syrup  tolu  should  be  used,  while  if  sedation  is 
wanted  the  syrup  of  prunus  virg.  should  be  used  as 
menstrum. 

Lumbago:  Hypodermic  injection  in  the  back,  about 
the  seat  of  the  pain,  of  3  to  8  drops  tincture  gelsemium 
is  a  fine  remedy,  unless  contra-indicated. 


FORMULAS  AND  USEFUL   INFORMATION  IQI 

Miscarriage,  Threatened :  We  think  of  viburnum 
prunifolium  which  is  our  best  remedy.  In  threatened 
miscarriage  from  atony  in  females  who  have  had  syph- 
ilis, aurium  et  sodium  chloridum  6x  is  a  very  good 
remedy. 

Metritis,  Acute :  To  reduce  pulse,  veratrum  viride  is 
our  best  remedy.  May  be  given  in  large  doses  even  to  8 
or  10  drop  doses  of  the  tincture  of  veratrum  viride.  It 
is  better  to  start  with  smaller  doses  and  increase  as  the 
case  demands.  Echinacea  is  also  a  useful  remedy  in  this 
condition  and  should  be  alternated  with  above. 

Myxedema:  The  preparation  of  the  thyroid  glands 
of  the  healthy  sheep  taken  for  a  long  time  is  our  best 
remedy.  Care  must  be  taken  in  its  administration  as 
untoward  symptoms  appear  if  given  in  too  large  doses. 

Nerve  Trouble : 'Tincture  veratrum  viride  gtt.  xx; 
liquor  potassii  arsenitis  5i ;  syrup  lactophosphates  §iv. 
Dose,  i  teaspoonful  2  or  3  times  a  day.  Tones  up  and  in- 
creases combustion  where  nerve  force  is  impaired.  Will 
also  increase  pelvic  circulation. 

Neuralgia :  Rheumatic,  in  back  and  hip,  melilotus  is 
useful.  If  of  the  submaxillary  nerves  plantago  major  is 
of  value.  If  in  the  head  above  the  ears  piper  methysticum 
is  good.  Piscidia  erythrina  is  of  value  in  neuralgia.  In 
sick  headache  result  of  functional  gastric  disturbance 
guarana  has  been  used  with  success.  In  neuralgia  at  the 
menstrual  period  we  may  think  of  guarana,  cimicifuga, 
gelsemium,  rhamnus  californica,  pulsatilla,  piscidia  ery- 
thrina, cannabis  indica,  etc.,  as  indicated.  Neuralgia,  with 
debility  and  impoverished  blood,  cypripedium,  cyanuret 
of  iron  and  quinine  combined  in  proper  proportions  is 
very  good. 

Neutralizing  Cordial:  Ground  rhubarb  root  (coarse) 
3  ounces;  peppermint  herb  3  ounces;  bicarbonate  of  pot- 
ash 3  ounces.  Pour  in  4  pints  of  boiling  water  and  let  it 
macerate  in  warm  place  2  hours ;  then  strain  and  while 
still  warm  add  2  Ibs.  sugar.  After  the  sugar  has  melted 
and  liquid  is  cold  add  I  pint  of  diluted  alcohol  and  ^2  oz. 
essence  of  peppermint.  Dose,  I  teaspoonful  to  i  table- 
spoonful.  A  favorite  cleansing  remedy  and  agent  for 
undue  acidity  of  the  prima  vise. 


192  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Nymphomania :  Our  best  internal  remedy  is  salix 
nigra  aments,  which  may  be  associated  with  pulsatilla. 
If  the  desire  is  too  strong  and  above  remedies  alone  can- 
not overcome  the  condition,  use  locally  a  50%  solution 
of  calendula.  Apply  this  to  clitoris  whenever  desire  be- 
comes too  strong.  This  Avill  wonderfully  assist  the  in- 
ternal treatment. 

Nervousness,  Hysteria,  Sleeplessness,  Etc. :  Piscidia 
erythrina  ovi ;  scutellaria  3i ;  cypripedium  *ii ;  hyoscyamus 
5i.  Dose,  10  to  30  drops  when  required  or  before  retir- 
ing. Gelsemium,  cannabis  indica,  viburnum  opulus  or 
prunifolium,  passiflora  or  avena  sativa  may  be  added  as 
indications  present  themselves.  Hysteria  from  irritation 
of  the  uterus 'and  appendages,  staphisagria.  Hysteria 
with  frequent  urination  although  a  little  urine  may  be 
voided  at  a  time  hyoscyamus.  Hysteria  with  sensation 
as  if  there  was  a  ball  in  the  throat  ignatia  amara.  Va- 
lerian is  of  use  in  many  hysterical  conditions. 

Obesity :  Dieting  and  exercises  carried  out  so  far  as 
to  debilitate  are  not  to  be  recommended.  Antifat  rem- 
edies such  as  phytolacca  berries  or  fucus  vesiculosus  are 
of  value,  but  fail  too  often  to  be  relied  on  always.  Cor- 
rect the  cause  that  produces  this  abnormal  condition. 
If  there  is  impairment  of  the  portal  circulation  polymnia 
uvedalia  and  ceanothus  am.'  are  our  best  remedies. 
Where  there  is  uterine  engorgement  the  above  remedies 
should  be  alternated  with  other  indicated  remedies. 
Fatty  degeneration  in  general,  but  especially  in  the  ab- 
dominal region  calls  for  phosphorus  3od  ;  i  drop  every 
other  day  for  one  or  two  weeks,  then  twice  a  week  and 
finally  only  once  a  week.  Weakness  of  the  heart  should 
always  be  taken  into  consideration  and  if  present  the  in- 
dicated remedies  should  be  alternated  with  above. 

Ointment:  Juniper  Pomade  (modified):  Lard,  dehy- 
drated, 4  ounces;  paraffine  5  drachms;  white  wax  I 
drachm  ;  oil  of  juniper  berries  3  drachms  ;  finely  powdered 
grindelia  robusta,  or  non-alcoholic  extract,  of  the  pow- 
dered grindelia  robusta  4  drachms,  will  be  the  best  pro- 
portion. Melt  the  paraffine  and  wax  first,  gradually 
adding  the  lard.  Then  add  oil  of  juniper  berries,  mixing 


FORMULAS  AND  USEFUL   INFORMATION  193 

well  with  an  egg  beater.  Then  add  grindelia  robusta. 
Useful  in  eczema,  as  a  salve  in  nasal  catarrh,  etc. 

Ointment :  For  epithelial  growths,  tetter,  ringworm, 
nasal  polypi,  wens,  etc.  Powdered  chelidoninm  majus 
and  powdered  thuja  oc.  equal  parts,  mixed  with  vaseline 
to  a  thick  paste,  makes  the  best  local  application  for 
above  and  many  other  conditions  of  similar  nature.  If 
more  irritation  is  required  the  powdered  root  of  sangu- 
inaria  equal  part  with  above  will  make  it  more  effective. 
Equal  parts  of  tincture  chelidonium  and  thuja  answer 
the  purpose  well.  If  more  irritation  is  required  a  little 
tincture  of  sanguinaria  may  be  added. 

Ointment:  For  ringworm,  tetter,  etc.:  Sulphur  sub- 
limed 4  drachms ;  boracic  acid  2  drachms ;  petrolatum  y2 
ounce  or  more;  chelidonium  powdered  3  drachms.  Mix 
the  first  two  ingredients  well  then  add  to  petrolatum 
and  mix  thoroughly.  After  this  add  the  chelidonium 
and  mix  well  with  the  rest.  Apply  2  or  3  times  a  day 
to  the  parts  on  a  clean  linen  rag.  The  powdered  root 
of  phytolacca  added,  quantity  same  as  chelidonium, 
makes  it  more  effective  if  there  is  any  indication  for  phy- 
tolacca. 

Ointment :  Polymnia :  Dried  root  of  polymnia  uve- 
dalia  2  ounces ;  add  V2  Ib.  of  water  and  mix  well.  Hogs 
lard  y2  Ib.  Place  on  a  slow  fire  till  water  is  evaporated 
then  strain.  If  the  green  root  is  used  take  l/2  Ib.  of  this 
to  l/2  Ib.  hogs  lard.  Boil  slowly  as  above.  The  roots 
are  best  gathered  in  fall.  This  makes  an  excellent  local 
application  in  enlarged  spleen  and  general  congestive 
state  of  the  liver  and  spleen.  Rub  in  well.  Polymnia 
ointment  can  be  made  with  the  tincture  of  polymnia  in 
place  of  the  roots  as  follows :  Tincture  polymnia  uve- 
dalia  2  drachms;  lard  or  suitable  fat  I  ounce.  Put  this 
after  mixing,  over  fire  and  keep  stirring  for  20  minutes. 
Then  set  aside  to  cool,  when  liquid  may  be  poured  off. 
Use  the  same  as  that  made  with  the  roots  and  in  same 
conditions. 

Ointment:  For  Pain.  Special:  Polymnia  uvedalia  2 
drachms ;  California  laurel  2  drachms ;  lard  or  fat  i 
ounce.  Mix,  place  over  fire  and  keep  stirring  for  20 
minutes,  then  set  aside  to  cool,  when  liquid  may  be 


194  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

poured  off.  Apply  locally,  rubbing  in  well.  In  place 
of  tinctures  of  polymnia  and  California  laurel  the  powder 
may  be  used. 

Ointment :  Webster's,  for  eczema,  scabies,  etc. :  Ver- 
atrum  viride  i  ounce ;  tar  oil  I  ounce  ;  adeps  I  Ib. ;  sul- 
phur q.  s.  Apply  locally,  clean  well  before  applying.  In 
eczema  do  not  wet  too  much  and  use  at  the  same  time 
internally  berberis  aquifolium  or  sulphite  of  calcium. 

Ointment:  Author's  salve  No.  i.  An  excellent 
salve  for  wounds,  bruises  and  pains.  All  affections 
and  pains  where  the  skin  is  unbroken,  rub  the  salve 
thoroughly  on  parts  for  several  minutes  2  or  3  times  a 
day.  For  wounds  or  bruises  of  any  kind  apply  a  thick 
coat  of  the  salve  on  worn  linen  and  renew  when  neces- 
sary. For  chapped  hands  and  face,  rub  on  well  before 
retiring.  For  chafing  and  sweaty  feet  see  under  special 
heading.  Ten  Ibs.  light  yellow  petrolatum  120  melting 
point ;  6  ounces  yellow  beeswax ;  2^4  ounces  oil  of  rose- 
mary ;  2x/2  ounces  oil  of  lavender  flowers ;  4  ounces  olive 
oil;  2  drachms  bergamot  oil.  Melt  the  petroleum  and 
beeswax,  then  when  hot,  that  is,  near  boiling  point,  add 
the  other  ingredients,  stirring  all  the  time.  Then  fill 
in  jar  and  let  cool. 

Ointment:  Author's  salve  No.  2.  An  excellent  heal- 
ing salve.  Echinacea  root  powdered  2  parts ;  grindelia 
robusta  powdered  2  parts ;  calendula  powdered  2  parts. 
Take  petrolatum  and  boil  above  ingredients  in  it  for 
about  YI  hour.  Then  strain.  The  finest  healing  salve 
out.  Has  also  antiseptic  properties.  The  proportion 
may  be  made  according  to  strength  wanted.  Average 
proportion  is  5  Ibs.  vaseline  or  petrolatum  ;  %  Ib.  each 
powdered  echinacea  root,  powdered  grindelia  robusta 
and  powdered  calendula.  A  little  yellow  beeswax  to 
be  added,  say  3  ounces  to  give  salve  consistency. 

Orchitis :  Veratrum  viride  is  a  useful  remedy.  Pul- 
satilla  2d;  thuja  o.  2d,  or  clematis  e.  6d  are  useful.  The 
last  two  especially  if  orchitis  is  the  result  of  suppressed 
gonorrhoea. 

Opium  and  Morphine  Habit:  Stramonium  is  a  good 
remedy  and  should  be  given  in  doses  to  fit  the  severity 
of  the  case.  It  should  be  alternated  with  avena  sativa 


FORMULAS  AND  USEFUL   INFORMATION  195 

in  good  sized  doses.  Avena  sativa  may  be  continued 
some  time  after  discontinuing  the  stramonium.  In  giv- 
ing avena  it  should  be  given  in  large  doses  until  the 
severity  of  the  symptoms  decrease,  then  gradually  de- 
crease dose  and  give  at  longer  intervals.  In  many 
cases  avena  alone  will  do  the  work.  Hyoscine  in  }4 
grain  doses  or  less  given  5  to  10  days  or  even  longer  has 
cured  many  cases.  Its  action  must  be  watched  carefully. 

Parturients :  If  there  is  danger  of  hemorrhage  after 
child  has  been  delivered  ergot  may  be  given  before 
placenta  is  delivered;  otherwise  it  should  never  be  given. 
We  have  other  remedies  more  reliable  and  safer,  and  for 
that  reason  can  well  get  along  without  it  generally. 
Hemorrhage  after  placenta  is  delivered  usually  submits 
to  10  to  20  drops  of  Lloyd's  specific  cinnamon  in  a  little 
water,  to  be  repeated  if  necessary.  For  simple  inertia 
give  10  drops  of  cimicifuga.  If  this  does  not  act  strongly 
enough  10  drops  of  caulophyllum  may  be  added  to  above. 
If  this  is  not  effective  TO  to  20  drops  of  gossypium  should 
be  added  and  it  will  act  forcibly.  This  may  be  repeated 
every  y2  to  i  hour  as  deemed  necessary.  If  the  os  uteri 
is  rigid  and  the  edges  feel  hard  and  sharp  to  the  touch 
or  there  is  a  tendency  to  convulsion  we  think  of  gelsem- 
ium.  In  puerperal  convulsion  generally,  veratrum 
viride  in  5  to  10  drop  doses  hypodermically  is  our  best 
remedy.  May  be  repeated  if  necessary. 

Pneumonia:  Below  will  be  given  an  outline  of  treat- 
ment, which  if  carefully  followed,  adapting  doses  to  meet 
conditions  as  they  present  themselves,  will  save  the  pa- 
tient where  other  means  would  fail.  Opiates  should  be 
avoided.  Harsh  physics  are  harmful.  Recumbent  posi- 
tion to  be  maintained  as  long  as  possible.  Our  best  gen- 
eral remedies  to  give  throughout  the  course  of  the 
disease  are  echinacea  and  kali  mur.  3x.  Depressants 
should  be  avoided  as  they  do  more  harm  than  good. 
When  the  patient  begins  to  get  a  little  weak,  or  when 
nearing  the  crisis,  or  has  sensation  of  choking  up,  our 
best  and  safest  remedy  to  alternate  with  above  is  am- 
monium mur.,  5  to  10  grains  in  2  ounces  of  water,  ^2 
teaspoon-fill  every  i  to  3  hours  as  the  severity  of  the  case 
demands.  In  the  3rd  stage  if  absorption  is-  not  progress- 


196  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

ing  favorably,  patient's  face  red,  pupils  dilated,  drowsi- 
ness, breathing  becoming  heavier,  kali  iodide  3x  should 
be  given  in  place  of  kali  mur.  3x.  If  sputum  is  putrid 
baptisia  is  a  good  remedy,  especially  in  the  early  stage. 
In  choking  spells  where  patient  is  unable  to  raise  mu- 
cus and  ammonium  mur.  alone  will  not  give  relief,  we 
should  give  tartar  emetic  3x,  which  is  a  valuable  remedy 
in  those  conditions,  especially  if  the  patient  is  very  weak. 
If  the  heart's  action  is  tumultous  lycopus  v.  is  a  good 
remedy.  As  a  local  application  to  chest  antiphlogistine 
is  useful.  If  there  are  complications  of  pleurisy,  bryonia 
and  asclepias  tub.  should  be  added  to  the  other  remedies. 
Temporary  conditons  should  be  met  by  indicated  reme- 
dies in  the  primary  or  secondary  form  as  the  case  de- 
mands. 

Pleurisy:  Our  best  remedy  is  bryonia.  Where  a 
stimulating  diaphoretic  is  admissible  asclepias  t.  should 
be  added.  To  favor  absorption  above  should  be  alter- 
nated with  kali  mur.  3x  and  echinacea.  When  very 
drowsy  kali  iodide  3x  can  be  used  in  place  of  kali  mur. 
Locally  antiphlogistine  or  Lloyd's  libradol  are  useful, 
especially  the  former.  In  cases  where  indicated  kali  carb. 
6x  is  useful.  In  cases  where  there  is  marked  effusion 
apis  mel.  is  a  useful  adjunct. 

Pediculus  Pubis :  Use  locally,  staphisagria  tincture  6 
drachms ;  cologne  2  ounces.  Wash  3  times  a  day  then 
dry  and  apply  locally.  May  be  made  stronger  if  neces- 
sary. Tincture  sanguinaria  2  drachms  added  to  above 
mixture  makes  it  more  effective.  This  is  more  pleasant 
and  less  objectionable  than  mercury. 

Plaster:  Author's  formula:  Balsam  of  fir  i  ounce:  oil 
hemlock  i  ounce ;  oil  mustard  expressed  i  ounce ;  oil  cam- 
phor y2  ounce.  Burgundy  pitch  and  rosin  to  give  plaster 
consistency  which  will  require  about  ^  Ib.  Burgundy 
pitch  and  Y^  Ib.  of  rosin.  Melt  the  Burgundy  pitch  and 
rosin  first,  then  add  balsam  of  fir  and  oil  mustard.  Then 
oil  hemlock  and  camphor  are  added.  Mix  well,  then  put 
up  for  use.  In  poisoned  wounds  or  open  sores  or  boils, 
apply  the  plaster  to  a  clean,  worn  linen,  cut  a  small  hole 
in  center  to  .leave  opening  for  center  of  boil,  or  opening 
of  sore  or  wound.  Apply  plaster  right  on  the  skin.  Over 


FORMULAS  AND  USEFUL  INFORMATION  197 

the  opening  apply  my  ointment  No.  i.  This  combination 
will  relieve  pain  and  make  boils  come  to  a  head.  For  pain 
only,  apply  to  place  without  cutting  a  hole  in  the  center 
of  cloth  and  dispense  with  salve  No.  i.  This  is  the  best 
plaster  by  far  for  the  purpose  named. 

Plaster :  Canada  Pitch :  Canada  pitch  or  pix  cana- 
densis  12  parts;  yellow  beeswax  i  part. 

Plaster,  Mustard :  Should  never  be  made  with  hot 
water,  as  it  destroys  its  efficiency. 

Poultice :  Tobacco  may  be  used  as  a  poultice  as  an  an- 
tispasmodic  in  extreme  cases  of  tetanus  or  colic.  Remove 
poultice  as  soon  as  patient  becomes  relaxed.  In  obsti- 
nate constipation  a  poultice  of  the  infusion  gives  prompt 
results.  In  colic  in  horses  infusion  of  i  ounce  of  tobacco 
in  i  pint  of  water  as  an  enema  has  saved  many  a  valuable 
horse. 

Poultice :  A  poultice  made  of  the  comp.  lobelia  pow- 
der, applied  to  the  chest  and  back  in  the  proportion  of  i 
part  of  comp.  lobdia  powder  to  4  parts  of  vaseline  or  lard, 
is  a  good  local  application  in  pneumonia.  Put  plaster 
on  chest  and  back  and  cover  with  a  dry  flannel.  Twice 
a  day  lift  just  enough  to  smear  on  a  little  more  of  the 
plaster. 

Poultice :  Antiphlogistine  is  one  of  our  best  applica- 
tions in  local  inflammation.  In  pneumonia  it  is  the  best 
we  have  and  should  never  be  forgotten. 

Prostate  Enlarged :  Thuja  is  of  some  value.  Saw  pal- 
metto and  salix  nigra  aments  are  very  good. 

Pruritus  Vulvae:  Menthol  in  olive  oil  will  often  re- 
lieve. Lobelia  or  thuja  applied  often  acts  well;  a  25% 
solution  is  to  be  recommended.  Boracic  acid  solution 
with  a  little  morphine  is  useful  in  some  cases.  Nitric 
acid,  well  diluted,  in  minute  doses  is  of  value  in  some 
forms  of  pruritis  ani  or  vulvse  if  taken  internally.  Con- 
stitutional treatment  is  generally  indicated  with  the  local 
application  given  above. 

Puerperal  Convulsions;  The  hypodermic  injection  of 
tinct.  veratrum  viride  of  5  to  10  drops  is  the  best  way  of 
relieving.  If  the  os  is  rigid  and  sharp  to  the  touch  gel- 
semium  is  the  remedy;  or  may  be  combined  or  alternated 
with  above. 


198  MATERTA,   MED1CA  AND  CLINICAL  THERAPEUTICS 

Puerperal  Infection:  The  treatment  that  is  most  suc- 
cessful in  the  various  forms  of  puerperal  infection  which 
has  saved  many  patients,  for  the  writer,  where  others  had 
failed  and  where  our  general  form  of  treatment  failed 
as  well,  is  what  will  be  given  below.  This  varies  accord- 
ing to  the  nature  of  infection,  as  well  as  severity  of  the 
case. 

For  these  reasons  it  should  be  understood  whether 
the  infection  is  caused  by  the  streptococcus,  staphyloc- 
occus,  gonococcus,  bacillus  coli  communis  or  some  other 
putrefactive  organism.  The  most  violent  form  is  the 
streptococcus  infection,  the  form  in  which  there  is  no  of- 
fensive odor  to  the  discharge.  In  the  mixed  infection  of 
above  and  the  staphylococcus  there  is  only  very  little 
odor,  if  any ;  while  in  infection  of  the  bacillus  coli  corn- 
munis  or  other  putrefactive  organism  the  discharge  has 
an  offensive  foul  odor  and  the  uterus  will  be  found  to 
contain  a  large  amount  of  necrotic  material ;  the  dis- 
charge as  a  result  is  very  foul  smelling.  In  these  cases 
there  is  a  formation  of  gas  in  the  uterus  for  reasons 
given.  From  above  it  can  be  seen  that  it  is  easy  to  dif- 
ferentiate between  the  different  forms  of  infection,  ex- 
cept where  we  have  a  mixed  infection  of  streptococcus 
or  staphylococcus  or  both,  with  the  bacillus  coli  com- 
munis or  other  putrefactive  organism  or  more  of  these. 
However,  in  such  cases  we  find  that  after  curetting  the 
temperature  will  remain  high,  or,  if  it  goes  down,  only 
remains  low  for  a  very  short  while,  only  to  rise  again 
rapidly. 

That  curetting  is  indicated  in  infection  of  bacillus 
coli  communis  or  other  putrefactive  organism  is  an  es- 
tablished fact,  for  the  reason  that  the  infection  is  more 
confined  to  the  endometrium.  Again,  in  purely  strep- 
tococcus or  staphylococcus  infection,  but  especially  the 
former,  the  change  in  the  endometrium  is  very  little,  it 
being  found  on  examination  to  be  very  smooth.  In  these 
cases  the  germ  spreads  rapidly  along  the  lymphatics,  or 
veins  or  both,  from  the  uterus  and  general  systemic  in- 
fection is  the  result,  which  is  often  associated  or  followed 
by  various  complications,  such  as  purulent  pleurisy, 
pneumonia,  peritonitis  or  phleginasia  alba  dolens.  In 


FORMULAS   AND  USEFUL   INFORMATION  199 

some  cases  all  these  complications  are  present.  Now 
before  going  into  the  systemic  treatment  of  puerperal 
infections  a  few  words  on  the  local  and  antiseptic  treat- 
ment are  to  be  considered  carefully.  The  utmost  care 
should  be  exercised  in  this  direction  even  to  the  minut- 
est details.  It  is  a  well  known  fact  that  sudden  collapse 
has  resulted  from  carbolic  acid  uterine  douches.  It  is 
also  a  well  known  fact  that  bichloride  douches  are  dan- 
gerous. Many  women  die  from  absorption,  cases  being 
on  record  where  one  uterine  douche  of  I  14000  has  re- 
sulted in  death  from  mercurial  poisoning.  Are  these 
not  reasons  enough  to  condemn  the  use  of  bichloride 
douches? 

In  infection  of  putrefactive  organism,  where  the  uter- 
ine discharge  is  foul  smelling  and  curetting  is  indicated, 
the  spiral  curette  is  the  quickest,  safest  and  most  con- 
venient. 

As  a  uterine  douche,  y2  drachm  of  the  40%  solution 
of  formaldehyde  in  i  quart  of  warm  or  hot  water  is  the 
best  and  safest  local  antiseptic  treatment  we  have.  If 
this  is  followed  with  a  thorough  application  of  eucalyp- 
tus oil,  being  sure  that  the  whole  lining  of  the  uterus 
is  anointed  with  it,  the  condition  as  a  rule  will  readily 
be  controlled,  if  accompanied  by  proper  internal  treat- 
ment. 

In  mixed  infection  curetting  is  also  indicated. 

In  streptococcus  infection  curetting  is  of  no  benefit, 
in  fact,  may  do  a  great  deal  of  harm.  However,  at  times, 
a  uterine  douche  followed  by  a  thorough  application  of 
eucalyptus  oil  to  the  inner  lining  of  the  uterus  will  as- 
sist internal  treatment.  A  few  such  douches  and  appli- 
cations will  do  more  than  one-half  dozen  or  more  others, 
and  no  harm  can  result.  Vaginal  douches  of  l/2  drachm 
of  formaldehyde  in  I  quart  of  water  are  indicated  in  all 
cases,  and  may  be  given  once  or  twice  a  day,  as  the 
severity  of  the  case  demands,  in  all  cases  of  infections. 

Internally  echinacea  should  be  given  in  large  doses. 
To  sustain  the  heart,  and  at  the  same  time  act  as  seda- 
tive, lycopus  v.  should  be  added.  Heart  stimulants  may 
be  used;  but  many  fatal  results  have  been  recorded  after 


2OO  MATKRTA   MEDICA  AND  CLINICAL  THERAPEUTICS 

powerful  heart  stimulants  had  lost  their  effect,  especi- 
ally in  protracted  cases.  Sedatives,  unless  the  tempera- 
ture is  very  high  are  of  no  benefit.  Kali  mur.  3x  is  a 
valuable  adjunct  to  above  treatment,  3  to  5  grains  to  2 
ounces  of  water  being  sufficient ;  dose  ^  teaspoonful 
every  2  hours.  This  may  be  alternated  with  above.  In 
some  cases  I  add  the  kali  mur.  3x  to  the  echinacea  and 
lycopus.  If  there  is  glandular  involvement  phytolacca 
in  fair  doses  should  be  added.  Where  there  are  sharp 
or  shooting  pains  bryonia  is  a  valuable  adjunct. 

If  stimulants,  especially  to  the  nervous  system,  are 
indicated,  nothing  can  compare  with  small  doses  of  mu- 
riate of  ammonia,  say  5  to  10  grains  in  2  ounces  of 
water,  y2  teaspoonful  every  2  hours,  to  be  alternated 
with  the  other  remedies.  Muriate  of  ammonia  not  only 
rouses  the  nervous  system  to  action,  but  powerfully 
antagonizes  the  systemic  poisoning.  Often  in  the  latter 
stages  when  echinacea  could  not  be  borne  well,  I  have 
just  given  the  muriate  of  ammonia  alternating  with 
lycopus  v. 

In  severe  cases  with  marked  restlessness,  pain,  and 
possible  danger  of  phlegmasia  alba  dolens,  arsenicum 
I2x,  i  or  2  grains  in  I  or  2  ounces  of  water,  l/2  teaspoon- 
ful every  2  to  4  hours  often  works  wonders.  It  antag- 
onizes inflammation  and  pus  formation.  If  marked 
thirst,  restlessness,  or  sometimes  a  burning  feeling  re- 
sults the  arsenic  should  be  reduced  in  dose  and  given 
at  longer  intervals,  or  be  discontinued  for  a  time.  In  re- 
sulting peritonitis  of  puerperal  infection,  kali  mur.  3x 
alternated  with  arsenicum  album  I2x,  will  often  surprise 
the  physician  as  well  as  the  patient. 

Kali  carb.  6  or  I2x  will  be  found  to  be  very  useful 
in  many  cases,  especially  where  indicated  and  where 
the  vital  forces  are  low. 

Temporary  conditions  should  be  met  by  temporarily 
indicated  remedies. 

Where  there  is  violent  throbbing  of  the  heart,  rapid 
pulse,  spigelia  ant.  3d  is  often  beneficial. 

Where  the  vital  forces  are  low,  pulse  rapid  and  weak, 
collapse,  a  few  doses  of  carbo  veg.  i2x  will  generally 
revive  the  patient ;  especially  if  the  "want  to  be  fanned" 


FORMULAS  AND  USEFUL   INFORMATION  2OI 

condition  is  present.  Patient  low,  threatened  with  col- 
lapse, with  cold  sweats,  especially  on  forehead,  vera- 
trum  album  should  be  given. 

Where  the  vital  forces  are  very  low  with  restlessness 
and  danger  of  collapse  an  occasional  dose  of  zincum  met. 
I2x  will  assist  the  general  treatment. 

Morning  and  evening  temperature  should  be  care- 
fully watched  in  all  cases.  Careful  nursing  is  necessary. 
A  nonirritating  diet  is  best.  Some  cereal  and  milk  pre- 
parations are  very  good.  The  writer  has  found  bovinine 
very  useful  as  it  is  very  nourishing  and  thus  helps  to 
sustain  the  vital  forces.  This  may  be  given  2  to  4  times 
in  24  hours.  By  careful  watching  our  patients,  decreas- 
ing or  increasing  doses  and  changing  medicines  as  con- 
ditions demand,  most  patients  can  be  saved,  generally 
without  any  bad  after  effects. 

Rheumatism :  As  a  general  remedy  in  both  the  acute 
and  chronic,  but  especially  the  former,  rhamnus  califor- 
nica  is  our  best  remedy.  In  most  cases  a  stimulating 
diaphoretic  is  indicated  in  which  case  asclepias  t.  is  a 
valuable  adjunct.  Hamamelis  by  toning  the  capillaries 
will  assist  in  removing  the  local  congestion.  Bryonia 
wrhere  there  is  involvement  of  joints  and  serous  mem- 
branes. Hot  air  treatment  is  useful  in  all  and  curative 
in  many  cases.  Cimicifuga  is  especially  useful  in  mus- 
cular rheumatism.  In  chronic  rheumatism  where  mus- 
cles are  contracted  thus  obstructing,  circulation  and  the 
free  transmission  of  nerve  force,  manual  manipulation  is 
in  place.  This  loosens  the  muscles  and  the  obstruction 
and  cause  of  the  trouble  is  removed. 

Scabies :  An  ointment  made  of  powdered  sangui- 
naria  root,  powdered  staphisagria  and  precipitated  sul- 
phur, equal  parts,  is  a  very  good  application.  Specific 
sanguinaria  ^ii ;  specific  staphisagria  ,^i ;  sulphur  pre- 
cipitated §ii ;  water  ad  oj  makes  a  useful  application. 

The  following  is  recommended  by  many:  Sulphur 
i  ounce;  carbonate  of  potassium  2  drachms;  lard  2 
ounces.  Anoint  parts  from  2  to  4  times  a  day  with  it. 
Before  applying  wash  thoroughly  with  warm  water  and 
castile  soap. 

Scurvy:  Lime  juice  or  lemon  juice  is  a  good  remedy. 


2O2  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

The  reason  why  these  are  good  in  scurvy  is  that  there  is 
an  excess  of  soda  in  the  system  ;  but  a  lack  of  potash. 
The  above  fruits  having  an  abundance  of  potash  in 
an  organized  form  are  therefore  curative. 

Sea  Sickness :  Gelsemium  l/2  to  i  drachm ;  water  4 
ounces;  dose  one  teaspoonful  every  15  minutes  to  I 
hour  as  the  case  demands.  Its  effect  must  be  carefully 
watched.  Not  to  be  used  if  contra-indicated.  Cocculus 
ind.  3od  or  higher  is  claimed  to  be  a  valuable  remedy. 
Petroleum  6d  is  of  value. 

Shock:  Is  a  collapse  caused  by  mental  emotion  or 
physical  injury.  In  latter  cases  severe  hemorrhages  are 
often  the  cause  of  shock.  In  -collapse  the  functions  of 
the  nerve  centers  are  more  or  less  suspended.  The  pulse 
becomes  irregular,  thready  and  rapid.  There  is  pallor, 
cold  skin,  clammy  perspiration,  nausea  and  vomiting, 
fixed  and  anxious  expression  of  the  face.  Brandy  may 
be  given,  or  other  stimulants.  Stimulants  hypodermic- 
ally,  friction,  hot  applications.  If  from  hemorrhage  in- 
ject normal  salt  solution  at  once. 

Snuffles  of  Infants:  Five  to  10  drops  of  euphrasia  off. 
in  4  ounces  of  water,  I  teaspoonful  every  15  to  20  minu- 
tes will  soon  relieve  condition. 

Soreness  and  Chafing:  In  soreness  and  chafing  in 
men  and  women  and  especially  in  infants  and  children, 
under  arms  or  between  the  legs,  my  ointments  No.  I 
and  2  are  excellent.  Where  the  healing  properties  are 
only  wanted  No.  2  is  the  best,  otherwise  No.  i  is  better. 

Spermatorrhoea :  Salix  nigra  aments  is  the  best  sex- 
ual sedative  we  have,  if  the  irritation  is  in  the  organs 
themselves;  if  central,  that  is,  in  the  mind,  we  may  think 
of  pulsatilla,  or  staphisagria.  If  both  we  may  alternate 
the  last  two  with  the  first..  In  general  anaemic  condi- 
tion we  may  give  calcarea  phos.  ix  ;  iron;  hypophosphites 
or  other  general  nerve  tonics,  to  be  alternated  with  the 
proper  remedies  for  spermatorrhoea.  If  there  is  de- 
spondency cypripedinm  is  of  use;  but  pulsatilla  gener- 
ally answers  the  purpose  better.  Thuja  has  been  recom- 
mended in  5  to  10  drop  doses  to  be  alternated  with  other 
indicated  remedies.  In  all  cases  the  sexual  sedatives 


FORMULAS  AND  USEFUL   INFORMATION  2O3 

have  to  be  alternated  with  general  tonics  as  they  in 
themselves  possess  little  or  no  tonic  properties. 

Sprains:  Witch  hazel  §x;  arnica  tincture  gii;  sp. 
aconite  tincture  gtt.  xx.  Apply  locally  with  gentle  fric- 
tion. An  excellent  application  for  sprains.  Use  3  to  4 
times  a  day.  Not  to  be  used  when  the  skin  is  broken. 

Sting  of  Bees:  A  thick  plaster  of  common  salt  tied 
on  place  is  useful.  Saleratus,  moistened,  applied  as 
above  is  also  very  good. 

Stomach  Ulcers:  Kali  bichrom.  I2x  is  a  very  good 
remedy.  Nitrate  of  uranium  3x  is  useful.  Berberis 
aquifolium  is  good.  Argentum  nit.  3od  is  a  very  good 
remedy. 

Stomatitis :  Phytolacca  20  to  30  drops  to  4  ounces  of 
water,  a  teaspoonful  every  2  to  3  hours  will  generally 
relieve  the  trouble.  Echinacea  is  useful  in  this  condi- 
tion. Borax  6x  in  small  doses  is  useful.  Nitric  acid  3d 
in  small  doses  is  a  good  remedy. 

Stoppers,  Glass,  to  Remove :  If  all  other  means  fail 
to  loosen  glass  stopper  immerse  the  stopper  and  neck 
of  bottle  in  vinegar;  this  will  generally  loosen  the  stop- 
per in  a  little  while. 

Stricture,  Spasmodic :  Gelsemium  is  a  good  remedy, 
but  acts  better  if  associated  with  cimicifuga  and  can- 
nabis  indica.  Locally  10  to  12  drops  of  tincture  of  lo- 
belia injected  into  the  meatus  in  the  male  and  held  there 
a  little  while  is  our  most  effective  local  remedy. 

Syrup,  Compound  Syrup  of  Phosphate  of  Iron:  (Dr. 
Parrish's  formula.)  A  very  good  remedy  in  extreme 
cases  of  nervous  prostration,  anaemia  and  spinal  irrita- 
tion. In  conditions  where  nerves  are  starved,  so  to 
speak. 

Syphilis:  The  treatment  of  this  disease  is  very  un- 
satisfactory with  the  old  school.  Our  form  of  treat- 
ment we  can  say  with  confidence  is  far  more  satisfac- 
tory. Echinacea  and  iris  virsicolar  combined,  given  in 
large  doses  is  very  good  treatment.  However  as  it 
takes  months  and  months  for  a  cure  the  action  of  the 
remedies  wears  out  and  we  have  to  change  perhaps  to 
10  to  15  drop  doses  of  berberis  aquifolium  4  times  a 
clay.  If  glandular  enlargement  is  present  polymnia  uve- 


204  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

dalia  or  phytolacca  may  be  added.  The  latter  in  fat 
subjects.  If  constipation  is  present  podophyllum  is  a 
good  addition  to  the  treatment.  Then  after  4  weeks  or 
so  we  may  change  back  to  first  prescription.  Stillin- 
gia,  cascara  amarga,  corydalis,  and  iodide  of  potassium 
are  useful  remedies.  To  those  who  wish  to  use  high 
potencies,  will  say  mercurius  vivus  3od  or  higher  is  a 
useful  remedy.  Where  mercury  has  been  used  abus- 
ively in  large  physiological  doses  and  a  long  time,  mer- 
curius 3od  will  be  of  no  value  and  we  would  think  of 
nitric  acid  3d  or  higher. 

Tape  Worm:  Our  best  and  least  objectionable  rem- 
edy is  carica  papaya.  The  writer  uses  a  preparation  of 
this  plant  called  papain  (L.  &  F.),  which  is  very  good. 
The  dose  is  8  to  10  grains  dissolved  in  water,  after 
meals,  for  2  to  4  days.  This  may  be  followed  by  a 
physic. 

Tape  Worm:  The  alkaloid  of  granatum  called  pel- 
letierine  is  a  very  good  remedy.  Embelia  ribes,  kam- 
ala,  kousso,  male  fern,  milk  of  cocoanut,  all  are  recom- 
mended and  certainly  have  merit. 

Tape  Worm :  Thirty  drops  of  chloroform,  diluted, 
to  be  followed  by  a  large  dose  of  castor  oil,  in  say  T  or 
2  hours  after  the  chloroform  has  been  taken.  In  this 
treatment  care  should  be  exercised  as  in  case  of  weak 
heart  it  may  become  a  little  dangerous.  Otherwise  it 
is  perfectly  safe. 

Typhoid  Fever:  Our  best  general  remedy  is  echin- 
acea,  which  can  be  given  in  large  doses  throughout  the 
course  of  the  disease.  In  the  early  stage  baptisia  makes 
a  useful  adjunct.  Tono-ue  indications  will  guide  us  in 
the  selection  of  acids  or  alkalies.  For  restlessness  and 
moaning  delirium,  rhus  tox.  and  hyoscyamus  are  useful, 
unless  there  are  special  indications  for  other  remedies 
in  either  the  primary  or  secondary  form.  In  diarrhoea 
small  doses  of  hydrastis  id  and  subnitrate  of  bismuth 
2x  generally  will  correct  the  trouble  unless  there  are 
special  indications  for  other  remedies.  In  constipation 
antiseptic  injections,  I  quart  of  water  to  which  one-half 
teaspoonful  of  Merrell's  formalyptol  is  added,  is  better 


FORMULAS  AND  USEFUL   INFORMATION 

than  harsh  physics.  In  the  stage  of  invasion  where  there 
is  marked  prostration  gelsemium  300!  will  often  shorten 
the  course  of  the  disease. 

Where  symptoms  are  worse  during  the  day  bryonia 
3d  is  a  useful  remedy. 

Arsenicum  album  i2x  where  symptoms  are  worse 
about  midnight. 

In  severe  forms  we  often  find  arnica  6d ;  muriatic 
acid  3d;  helleborus  niger  i2cl  or  sulphuric  acid  3d  in- 
dicated. 

Temporary  conditions  should  be  met  by  indicated 
remedies  in  the  primary  or  secondary  form  as  the  case 
demands. 

The  patient  should  have  liquid  diet  and  as  much 
pure  water  as  he  likes. 

Mellin's  food,  Horlick's  malted  milk  and  bovinine 
are  very  useful  to  keep  up  the  strength  of  the  patient. 

For  hemorrhages  in  typhoid  see  proper  remedies 
both  in  part  one  and  part  two  of  this  work,  under  head- 
ing of  hemorrhages. 

Tetanus :  First  of  all  open  and  clean  wound  that  has 
caused  the  attack.  Give  hypodermic  injection  of  >4 
grain  of  pilocarpine.  Administer  chloroform  to  assist 
in  producing  relaxation,  then  if  relaxed  enough  give 
jaborandi  in  5  to  10  drop  doses  and  a  cure  may  result. 
Bigleovia  arborescens  is  a  good  remedy. 

Toothache:  If  from  cold  in  the  muscles  of  the  neck, 
manipulate  region  and  either  side  of  occiput.  If  tooth 
is  hollow  a  little  chloroform  on  cotton  gives  relief.  If 
from  cold  only  with  determination  of  blood  to  the  head 
gelsemium  may  relieve.  If  result  of  a  cold,  skin  dry, 
8  to  12  drops  of  jaborandi  in  a  cup  of  hot  water  if  not 
contra-indicated,  is  very  good.  If  aggravated  by  warm 
fluids  in  the  mouth  and  associated  with  rheumatism  rhus 
tox.  may  be  of  benefit.  Chamomilla  2d,  magnesium 
carb.  6x  or  tincture  of  valerian  may  alleviate  the  tooth- 
ache. Pain  in  teeth  or  pain  when  cutting  teeth  in  chil- 
dren, plantago  major  rubbed  on  gums  may  give  relief. 

Tooth  Wash :  Author's  formula.  An  antiseptic 
wash:  ij4  parts  tincture  of  myrrh;  2  parts  tincture  of 


2O6  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

eucalyptus ;  }4  Part  °f  rhue  or  rue ;  ]/±  part  of  tincture 
of  lavendula ;  *4  part  of  sage. 

Sig:  20  to  30  drops  in  y2  wineglassful  of  water.  Ap- 
ply with  a  soft  rag  or  fingers  to  teeth  and  then  rinse 
mouth  thoroughly  with  same.  Use  2  to  3  times  a  week. 
As  a  diet  substitute  graham  bread  for  fine  wheat  bread. 
In  this  way  the  teeth  are  easily  preserved.  Nothing  is 
known  so  far  to  equal  this  tooth  wash. 

Tympanitis:  One-half  drachm  oil  of  erigeron  beaten 
up  with  a  yolk  of  an  egg,  mixed  with  a  pint  of  milk,  to 
be  used  as  an  enema;  is  an  excellent  injection  for  tym- 
panitis. The  worst  cases  of  tympanitis  have  yielded  to 
this  treatment  after  a  few  enemas. 

Tonsillitis:  Our  most  useful  internal  remedies  are 
echinacea,  phytolacca  and  kali  mur.  3x.  If  there  is 
bluish  discoloration  baptisia  is  a  valuable  adjunct.  In 
most  cases  it  will  be  found  to  be  better  to  alternate  the 
above  with  any  or  some  of  the  following  if  indicated  : 

Tonsils  and  mucous  surfaces  bluish,  especiallv  if  the 
trouble  starts  on  the  left  side,  lachesis  I2cl  or  3od. 

If  the  trouble  starts  on  the  right  side,  lycopodium 
3od. 

For  oedematous  condition,  especially  if  there  is  burn- 
ing and  stinging  pain,  apis  I  or  2d. 

Where  the  condition  changes  from  one  side  to  the 
other  and  vice  versa,  lac  caninum  I2x. 

Sweating  without  relief,  breath  fetid,  mercurius  v. 
12  or  3od. 

For  chronic  tendency  to  tonsillitis,  baryta  carb.  3x 
is  our  best  remedy.  However  sometimes  lycopodium  or 
plumbum  are  indicated. 

As  a  gargle  the  writer  has  found  the  following  to  be 
very  useful  as  a  general  rule:  Vinegar,  cider  vinegar  is 
best,  six  ounces;  pure  water  six  ounces;  Merrell's  for- 
malyptol  one-half  ounce.  Mix  well.  If  you  want  to  dis- 
pense take  4  ounces  of  this  solution  and  add  two 
drachms  of  baptisia  and  shake  up  well.  Of  this  two 
tablespoon.fuls.  in  4  to  6  tablesognfuLs  of  hot  water,,  to 
be  used  as  a. gargle,  just  as. hot  as  can  be  borne.  .  Use 
as  a  gargle  from  4  to  6  times  a  day.  A  very  simple  and 
effective  gargle. 


FORMULAS  AND  USEFUL   INFORMATION  2O7 

Ulcers :  Grindelia  robusta  is  very  good  in  old  chronic 
ulcers.  Tincture  grindelia  robusta  I  drachm;  glycerine 
}/2  to  i  ounce  makes  a  very  good  local  application. 

Urinae,  Ardor :  Caused  by  irritable  condition  of  the 
bladder  or  rather  the  neck  of  the  bladder,  will  generally 
be  relieved  by  barosin  combined  with  aconite,  atropine 
or  senecio. 

Uterus,  Enlarged :  For  enlarged  uterus,  of  chronic 
nature,  if  trouble  is  primary,  helonias  is  a  good  remedy. 

Aurum  met.  3x  if  fore  part  of  uterus  is  mostly  en- 
larged. 

Aurum  mur.  3x  if  whole  uterus  is  enlarged. 

Fraxinus  am.  in  8  to  10  drop  doses  is  useful  in  some 
cases ;  but  not  very  effective,  still  Burnett  claims  won- 
derful cures  and  it  is  worth  a  thorough  trial. 

Varicose  Veins :  Carduus  marianus  taken  for  2  or 
3  months  in  2  to  5  drop  doses  3  to  4  times  a  day  is  per- 
haps our  best  remedy.  Collinsonia  and  calendula  are 
of  value.  Hamamelis  has  a  positive  tonic  effect  on  the 
walls  of  the  veins.  Calcium  fluor.  3x  is  a  good  remedy, 
especially  if  alternated  with  any  of  the  above  remedies. 
Chelidonium  majus  is  a  very  good  remedy  in  varicose 
veins,  if  given  in  fair  sized  doses  for  a  long  time. 

Vesicles,  to  Cause :  Croton  oil  i  drachm ;  sulphuric 
acid  3  drachms;  tincture  iodine  5  drachms.  Apply  lo- 
cally. 

Varicocele :  Chelidonium  majus  taken  internally  for 
some  time  is  one  of  our  best  remedies,  in  fact  perhaps 
our  best.  Calcarea  fluor.  3x  or  6x  may  be  alternated 
with  above.  In  varicocele  chelidonium  should  be  given 
in  good  sized  doses,  say  from  5  to  10  drops  in  a  little 
water  3  to  4  times  a  day.  If  you  get  too  much  of  a 
cathartic  effect  reduce  dose. 

Worms :  Fl.  ex  chenopodium  2  parts ;  male  fern  I 
part ;  spigelia  an.  i  part ;  syrup  primus  virg.  3  parts. 
Dose,  i  teaspoonful  y2  hour  before  breakfast  and  before 
retiring.  Continue  for  3  or  4  days,  then  follow  with  a 
good  cathartic.  To  be  repeated  if  necessary.  In  part 
II  of  this  work  under  same  heading  will  be  found  forms 
of  treatment  more  pleasant  and  more  effective  than 
above. 


2O8  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

THE   BATH. 

The  frequency  and  nature  of  the  bath  should  be  such 
as  to  conform  to  the  precise  conditions  of  the  person. 
Good  judgment  of  temperaments,  whether  mental,  vital, 
or  motive,  or  a  modification  of  two  or  more  of  these 
must  be  carefully  studied.  It  should  also  be  taken  into 
consideration  whether  the  different  temperaments  that 
predominate  are  fully  developed  or  not.  The  mental 
organization  especially  should  be  considered  carefully. 
Reaction  of  the  system,  whether  acid  or  alkaline  is  an- 
other prominent  factor. 

The  physical  as  well  as  the  mental  condition  of  a  per- 
son in  general  must  be  carefully  studied.  To  sum  up 
the  bath  requires  a  careful  study,  and  much  more  at- 
tention should  be  paid  to  its  use  scientifically. 

Frequent  baths  are  beneficial  to  some  people  while 
to  others  they  are  harmful. 

The  anaemic  persons  should  not  bathe  as  often  as 
others  who  have  a  stronger  constitution,  more  blood  and 
where  reaction  is  more  easily  established.  This  applies 
also  to  cold  baths  with  the  only  difference  that  anaemic 
people  should  not  bathe  in  very  cold  water. 

In  cases  where  there  is  an  acid  condition  of  the  sys- 
tem we  think  of  adding  some  alkaline  salts  to  bath,  such 
as  chloride  of  sodium,  bicarbonate  of  sodium,  etc. 

If  vapor  baths  are  given  we  can  medicate  them  by 
using  the  properly  indicated  remedies  and  better  results 
follow  in  every  case. 

In  dry  and  constricted  skins  and  relaxed  and  en- 
feebled conditions,  fatty  inn  yet  ions  are  useful.  In  some 
cases  stimulants  are  useful,  in  others  essential  oils  may 
be  combined. 

When  the  skin  is  relaxed  and  enfeebled,  tonic  stimu- 
lants should  be  employed.  If  the  skin  is  oily,  alcohol 
baths  are  useful.  A  good  rubbing  down  (after  a  bath) 
with  alcohol,  in  these  conditions,  is  very  beneficial. 

In  strongly  developed  mental  temperaments  with  a 
marked  deficiency  of  the  motive,  very  cold  and  frequent 
bathing  is  positively  harmful.  On  the  contrary  a  well- 
developed  vital  temperament  wrill,  as  a  rule,  bear  fre- 


THE  BATH  2OO, 

quent  baths  well ;  such  people  can  stand  cold  baths  well 
if  a  moderate  amount  of  the  motive  temperament  is  pres- 
ent. For  these  reasons  it  is  a  necessity  for  the  physician 
to  be  a  good  judge  of  human  nature  and  temperaments 
in  order  to  do  justice  to  his  patients. 

If  a  person  feels  weak  or  nauseated  or  gets  a  fainting 
sensation  during  a  hot  bath,  be  this  water,  vapor  or  dry 
hot  air,  it  is  harmful.  If  a  person  feels  good  after  a  cold 
bath,  but  at  the  same  time  gets  weaker  from  time  to  time 
it  shows  that  there  is  strength  enough  to  cause  a  re- 
action, but  that  the  system  is  not  strong  and  cannot  bear 
this  extra  strain. 

If  a  cold  bath  chills  a  person,  especially  if  we  are  un- 
able to  establish  reaction  it  is  decidedly  harmful. 

In  jaundice,  chronic  or  acute,  but  especially  in  the 
former;  or  any  condition  where  there  is  obstructed  cir- 
culation in  the  liver  or  spleen,  or  both,  hot  baths  and 
especially  dry,  hot  baths  are  contra-indicated  until  such 
time  as  circulation  has  been  fairly  well  established.  As 
hot  baths  assist  in  increasing  the  circulation  and  in  some 
cases  markedly  so,  bile  is  secreted  and  there  being  ob- 
struction the  result  is  that  a  greater  quantity  is  absorbed 
by  the  blood  and  the  condition  is  made  worse.  A  warm 
bath  of  short  duration  is  admissible  in  these  conditions. 

Some  oils  have  an  affinity  for  cells  and  the  tissues 
and  therefore  are  readily  absorbed  by  them  if  a  small 
quantity  is  added  to  the  water  in  which  the  bath  is  taken. 
If  these  oils  have  medical  virtue  in  certain  directions 
we  should  use  them  to  meet  the  indications  of  the  case. 
To  illustrate,  oil  of  eucalyptus  ^  to  i  teaspoonful  added 
to  the  water  is  splendid  to  cure  colds  and  prevent  taking 
cold. 

Oil  of  rosemary  or  lavender  flower  oil  are  useful  in 
neuralgia  and  rheumatic  pains  if  not  of  an  inflammatory 
nature.  Of  these  15  to  20.  drops  to  a  bath  is  generally 
sufficient. 

Many  medicines  and  oils  are  repellant  to  the  cells, 
and  if  added  to  a  bath  have  no  value  whatever. 

In  many  conditions  dry  hot  air  baths  are  much  more 
effective  than  vapor  baths,  because  a  higher  temperature 
can  be  borne  and  for  a  much  longer  time.  It  has  proved 


2IO  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

curative  in  many  cases  of  rheumatism,  rheumatoid  arth- 
ritis, gout,  tubercular  joint  disease,  etc.  Relieves  the 
pain  of  any  parts  treated  that  have  become  hypersemic, 
showing  dilation  of  capillaries.  Thus  effusion  and  de- 
posits of  joints  or  anywhere  else  will  be  absorbed  and 
adhesions  broken  up.  Ankylosis  is  removed,  stiffened 
joints  restored,  inflammatory  condition  relieved  and 
certain  pathogenic  germs  destroyed  on  account  of  in- 
tense heat.  Betz  bath  is  a  good  apparatus,  if  well  lined 
with  asbestos. 


BREATH,  ODOR. 

A  sweetish  or  mawkish  odor  of  the  breath  calls  for 
sulphuric  acid,  or  sulphite  of  sodium.  Odor  resembling 
offensive  lochial  discharge  chlorate  of  potash  in  small 
doses. 

Hot  breath  with  unpleasant  pungent  odor  as  if  of 
ammonia  makes  us  think  of  muriatic  acid. 

Odor  resembling  that  from  cynanche  maligna,  is  an 
indication  for  baptisia. 

CONVULSIONS. 

If  the  cause  is  vascular  excitement  \ve  think  of  gel- 
semium  and  veratrum  v.,  and  perhaps  pilocarpinc. 

If  due  to  impaired  circulation,  and  there  is  a  condi- 
of  atony  we  think  of  chloroform,  lobelia,  bromide  of 
ammonium  and  perhaps  jaborandi. 

If  due  to  congestion,  we  think  of  belladonna,  bromide 
of  ammonium  and  sometimes  ergot.  There  are  some 
local  causes,  removal  of  which  will  relieve  convulsions. 
This  should  never  be  lost  sight  of. 

If  from  irritation  of  the  stomach,  through  green 
fruit,  fats  or  other  indigestible  food  or  overeating,  an 
emetic  is  our  first  resort,  although  in  some  cases  a 
prompt  cathartic  acts  well. 

If  worms  are  the  cause  we  should  remove  the  cause 
after  fully  controlling  convulsions  at  the  time. 

If  from  uterine  or  ovarian  trouble  try  and  remove 
the  cause. 


EVACUATION  211 

If  from  sympathetic  irritation  of  the  solar  plexus  mix 
vomica  will  serve  a  good  purpose. 

If  the  kidneys  are  at  fault  we  must  try  and  find  the 
cause  and  remove  it  if  possible. 

If  in  a  child,  we  find  that  teething  is  the  immediate 
cause  see  if  the  gums  are  swollen  and  look  congested. 
If  so  an  incision  made  over  the  tooth  will  often  relieve. 

From  this  we  learn  that  if  the  cause  can  be  recognized 
and  removed  convulsions  are  controlled. 


EVACUATIONS. 

Clay  colored  stool  shows  want  of  secretion  of  the  in- 
testinal glands  and  liver  and  impaired  power  of  digestion. 

Yellow,  rye  mush  color  in  typhoid,  calls  attention  to 
the  commencement  of  disease  of  Peyers  patches. 

Deep  brown  or  black  fseces  with  greenish  tinge, 
sometimes  yeasty,  is  a  marked  indication  of  typhoid 
condition  ;  it  calls  for  antiseptics. 

Viv'id  green  discharge  in  children,  acrid  and  irri- 
tating, shows  excess  of  acids  and  suggests  the  use  of 
alkalies. 

Extreme  yellow  discharge  in  infants  shows  poor  di- 
gestion of  food,  of  fats  and  albuminoids.  It  tells  us 
more  care  in  diet  should  be  used,  and  indicates  remedies 
that  tone  up  the  digestive  system. 

If  ribbon-shaped  generally  shows  a  stricture  of  the 
rectum. 

If  stool  is  hard  generally  shows  that  it  is  too  long 
retained. 

If  there  is  mucus  mixed  with  substance  of  stool, 
there  is  a  catarrhal  condition  of  the  ileum. 

If  hard  and  coated  with  mucus,  there  is  a  catarrhal 
condition  of  the  colon. 

If  too  large  quantity  is  passed  every  day,  by  weak 
and  perhaps  anaemic  persons  it  shows  a  lack  of  assim- 
ilation ;  that  is,  the  food  is  not  properly  absorbed. 

If  person  goes  3  or  4  days  and  then  passes  large  quan- 
tities, it  shows  lack  of  sensitiveness  in  the  rectum,  there 
being  impairment  or  partial  paralysis.  Here  dilation 


212  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

is  the  remedy,  or  remedies  indicated  in  constipation. 
See  part  II. 

If  person  goes  three  or  four  days  and  then  passes 
small  quantity  of  hard  pieces,  it  usually  shows  a  lack 
of  secretion  of  the  intestinal  tract.  Here  a  large  quan- 
tity of  water  taken  about  2  hours  before  meals  and  i 
hour  after  meals  is  of  advantage. 

The  above  of  course  only  refers  to  general  conditions 
when  other  causes  are  excluded. 


HYPERAEMIA: 

Active  and  Passive: 

In  determination  of  blood  to  the  brain,  gelsemium. 

In  determination  of  blood  to  the  lungs,  ipecac  or 
veratrum  v. 

In  determination  of  blood  to  the  kidneys,  gelsemium. 

In  determination  of  blood  to  the  bladder,  eryngium. 

In  determination  of  blood  to  the  bowels,  aconite, 
ipecac. 

In  determination  of  blood  to  the  uterus,  cimicifuga. 

In  congestion,  passive,  of  brain,  belladonna. 

In  congestion,  passive,  of  lungs  or  heart,  lobelia. 

In  congestion,  passive,  of  abdominal  viscera,  mix 
vomica. 

In  congestion,  passive,  of  kidneys,  belladonna. 

If  local  applications  are  used  with  above  internal 
remedies,  they  should  conform  to  the  condition  present. 
In  active  hypersemia  the  local  applications  should  be 
sedating,  while  in  congestive  conditions  the  local  appli- 
cations should  be  stimulating.  Mark  the  difference  and 
thus  avoid  mistakes. 


PAINS: 

Throbbing  sensation  writh  pain  and  sensation  of 
tighteness  is  a  pulsative  pain. 

Nervous  pain,  generally  intermitts  or  remitts. 

Spasmodic  pain  is  mitigated  by  pressure  or  by  fric- 
tion and  application  of  warmth. 

Inflammatory  pain  is  constant,  attended  by  quicken- 


PAINS  213 

ing  pulse  and  heat,  and  is  increased  by  movement  of  the 
affected  part  or  pressure. 

Pain  sometimes  occurs  in  a  part  distant  from  the  seat 
of  the  disease.  In  inflammation  of  the  liver  we  may 
have  pain  in  the  right  shoulder. 

Inflammation  of  hip  joint  may  give  rise  to  pain  in  the 
knee  joint. 

Stone  in  the  bladder  is  accompanied  by  pain  in  the 
penis  of  the  male  and  mouth  of  the  urethra  of  the  female. 

Inflammation  of  neck  of  bladder  may  cause  pain  in 
head  of  penis  of  the  male  and  mouth  of  urethra  of  the 
female. 

Disease  of  heart  may  give  rise  to  pain  shooting  down 
left  arm. 

Pain  in  ear  (earache)  may  call  for  chamomille,  piper 
methysticum,  pulsatilla,  plantaga  major,  cimicifuga.  If 
acute,  gelsemium,  echinacea,  bryonia,  jaborandi. 

Cardiac  pain  calls  for  amyl  nitrite  if  from  angina 
pectoris;  cardiac  rheumatism,  macrotys,  manaca,  caul- 
ophyllum,  jaborandi,  crataegus,  salicylates,  etc. 

Cardiac  neuralgia,  magnesium  phos.  2x. 

Cerebral  pain,  full  and  throbbing  calls  for  amyl  ni- 
trite. 

Pain  in  testes,  if  rheumatic,  macrotys.  If  sexual 
origin  pulsatilla  in  small  doses. 

Ovarian  pains  call  for  macrotys,  tiger  lily,  hamamelis, 
ustilago,  etc. 

Rectal  pain,  sharp  and  cutting,  sesculus  hip.,  marked 
sense  of  local  fullness  and  weight,  hamamelis.  Collin- 
sonia  when  pain  is  associated  with  pain  in  hypogastric 
region. 

Pain  of  Belladonna :  Pain  in  head,  heavy,  tense  and 
sleepy.  Congestive  pain.  Relieved  by  pressure. 

Pain  of  Bryonia :  Shooting  pains  that  are  aggravated 
by  movement  it  is  the  remedy.  Sharp  or  dull,  but  al- 
ways has  a  sense  of  oppression  as  if  parts  could  not  per- 
form their  duty. 

Pain  of  Caulophyllum :  Rheumatic  pains  in  feet  and 
hands  and  tip  of  toes  and  fingers. 

Pain  of  Chelidonium :  Dull,  heavy,  tensive,  with  oc- 


214  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

casional  twinges  as  if  parts  were  torn ;  situated  in  the 
hypochondriac  or  epigastric  region. 

Pain  of  Gelsemium :  Sharp  and  restless.  Exalted 
sensibility  and  arterial  throbbing.  In  some  cases  pa- 
tient dreads  movement  of  head.  The  pulsation  of  the 
arteries  is  distinct  and  painful.  Such  pains  anywhere 
mean,  as  a  rule,  gelsemium. 

Pain  of  Lobelia :  Anguish,  the  undescribable'  pain  as 
if  life  were  driven  forcibly  from  parts  or  part.  Agonizing- 
pains. 

Pain  of  Macrotys:  Feels  as  if  dependent  upon  ten- 
sion, paroxysmal ;  a  continued  succession  of  tensive  pains, 
remittent,  tensive  pain;  waves  of  pain  (not  throbbing). 

Pain  of  Matricaria :  Pain  in  amenorrhcea.  Sense  of 
weight  and  heaviness  in  uterus,  with  bloating  of  bowels. 
Pain  sometimes  resembling  labor  pains. 

Pain  of  Nux  Vomica  :  Pain  in  the  right  hypochondriac 
region,  pointing  or  radiating  towards  the  umbilicus.  Con- 
tra-indicated in  irritation  or  inflammation  of  the  gastro- 
intestinal tract. 

Pain  of  Podophyllum :  Pain  deep  in  the  ischiatic 
notches. 

Pain  of  Pulsatilla :  Short,  limited  in  location,  des- 
pondent. 

Pain  of  Rhus  Tox :  Pain  with  burning  in  any  part  of 
the  body,  especially  of  the  frontal  regions  and  orbits 
with  burning. 

Pain  of  Stramonium:  Constrictive  pain  and,  if  involv- 
ing the  muscular  structure,  is  attended  with  persistent 
contraction  ;  of  the  outlets  of  the  body  is  expulsive. 


PULSE  AND  TEMPERATURE. 

Full  pulse  shows  strong  life  in  a  state  of  excitation. 
Sthenic  condition  often. 

Hardness  added  to  fullness,  we  have  added,  special 
lesion  of  innervation,  of  excitation  steadily  maintained. 

Small,  hard  pulse,  impairment  of  life  from  activity, 
still  maintained. 

Small  and  soft,  easily  compressed,  deficient  innerva- 
tion. 


PULSE   AND   TEMPERATURE  215 

Small  pulse  and  vibratile,  expression  of  impaired  life 
with  great  excitation  of  nerve  centers. 

Empty  pulse  interwave  currents  hardly  perceptible, 
impaired  life  with  enfeebled  innervation  from  the  sym- 
pathetic nervous  system. 

The  Pulse  Indication  for  Certain  Remedies: 

Full,  with  strength  or  bounding,  veratrum  v. 

Full,  doughy,  lacking  the  marked  vibration,  lobelia. 

Full,  doughy,  lacking  the  marked  vibration,  with  full- 
ness of  mucous  membrane  and  purplish  discoloration, 
baptisia.  If  accompanied  with  muscular  pain,  apocy- 
num. 

Full,  open,  quinine  in  full  doses,  if  indicated. 

Large,  empty,  alkaline  sulphites,  if  indicated. 

Full,  vibratile,  gelsemium  associated  with  veratrum  v. 

Full,  oppressed,  belladonna,  veratrum  v.  If  sepsis, 
baptisia,  echinacea. 

Small,  frequent,  usually  means  aconite. 

Small,  vibratile,  gelsemium  associated  with  aconite. 

Small,  oppressed,  belladonna  associated  with  aconite. 

Small,  frequent,  easily  compressed,  aconite  and  small 
stimulant  doses  of  quinine. 

Small,  frequent,  easily  compressed,  wave  of  blood 
giving  sense  of  squareness  as  it  passes  under  finger  indi- 
cates opium. 

Small  and  feeble  pulse,  oppressed,  belladonna. 

Want  of  power  in  the  impulse,  means  cratsegns,  con- 
vallaria  majalis,  capsicum. 

Sharp  stroke,  with  tremulous  waves  between  strokes, 
means  rhus  tox. 

Sharp  stroke  with  even  vibratile  current  between 
strokes,  means  bryonia. 

Dull  stroke,  with  tremulous  or  vibratile  waves,  phy- 
tolacca. 

Open,  tremulous  pulse,  arsenicum. 

Small  and  open  waves  of  blood,  drop  suddenly  when 
finger  is  passed,  means  cactus,  pulsatilla. 

Irregularity,  soft  or  open,  with  distinct  wrong  of 
stroke,  cactus. 


2l6  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

Steady,  vibratile,  without  marked  waves,  means  ma- 
crotys. 

The  Average  of  the  Pulse  at  Various  Ages : 

In  the  foetus  in  utero,  150  to  140. 
In  the  new  born  infant,  140  to  130. 
During  first  year,  130  to  115. 
During  second  year,  115  to  100. 
During  third  year,  105  to  95. 
From  seventh  to  I4th  year,  90  to  80. 
From  1 4th  to  2ist  year,  85  to  75. 
From  2  ist  to  6oth  year,  75  to  70. 
In  old  age,  75  to  80. 

Respiration  at  Various  Ages : 

First  year  about  35  per  minute. 
At  puberty  about  20  per  minute. 
Adults  about  18  per  minute. 

Respiration:  Normal  proportion  is  inhalation  2,  to 
exhalation  I. 

Temperature,  Average  Normal  of  the  Body : 
Of  adults  is  about  98.6  degrees. 
Of  children,  99  degrees. 
Of  the  aged,  98.8  degrees. 

Daily  variation  is  from  i  degree  to  1.5  degree. 
The  highest  being  reached  between  9  a.  m.  and  2  p.  m. 

Temperature,  Sub-Normal : 

We  find  this  as  a  result  of  bile  in  the  blood,  anaemia, 
cancer,  or  pernicious  malarial  infections.  Any  profound 
nervous  shock,  cholera  morbus,  asiatic  cholera.  In  the 
early  cold  stage  of  intermittent  fever  or  after  the  fever 
has  fallen.  In  diseases  terminating  by  crisis,  diabetes, 
some  heart  diseases  and  myxedema.  Severe  injury  to 
the  dorsal  region.  In  some  cases  of  hysteria.  In  some 
cases  of  insanity.  In  influenza  after  the  acute  stage  has 
passed.  Heat  strokes,  some  forms.  If  the  temperature 
goes  down  to  93  it  becomes  rapidly  fatal.  Ninety-five 
degrees  is  a  general  collapse.  Ninety-six  degrees  is  a 
medium  collapse.  Sub-normal  temperature  also  follows 
shock,  severe  form  of  diseases,  and  may  also  be  caused 
by  certain  poisons  in  the  blood. 


TONGUE   INDICATIONS  217 

TONGUE. 

Coated :  Tongue  looks  as  though  it  could  be  rolled  or 
peeled  off. 

Fur:  Looks  as  though  it  was  a  part  of  the  tongue  and 
could  not  be  peeled  or  taken  off.  A  fur  or  coating  com- 
ing off  in  patches,  leaving  a  glistening  spot  in  acute  dis- 
ease is  not  a  favorable  sign. 

Fur:  Indicates  epitheliazation,  a  hyperproduction  or 
nonremoval  by  friction  and  a  lack  of  attrition  by  want  of 
appetite  and  consequently  absence  of  mastication.  In- 
fants' tongues  are  white  at  back  part  from  lack  of  attri- 
tion. In  cancer  of  the  stomach  tongue  is  coated  or  yel- 
low. In  ulcers  of  the  stomach  tongue  is  clean  and  red- 
dish. 

Ridges,  fissures  or  grooves  or  furrows  characterize  the 
hepatic  disorders  so  common  in  the  South  and  malarial 
regions. 

Cracked  edges,  deranged  kidneys.    Examine. 

Red,  pointed  and  dry,  denotes  nerve  irritation. 

Broad,  porous,  denotes  imperfect  elimination  and 
muscular  weakness. 

Flabby  and  full,  denotes  blood  poverty  and  debility. 

Dry,  cracked,  scaly  and  brown  is  seen  in  the  later 
stages  of  long  continued  specific  fevers,  like  typhoid  or 
in  rapid  specific  fever  of  high  grade  as  typhus. 

Very  red  tongue,  is  common  in  eruptive  fevers,  es- 
pecially in  remittent  and  intermittent  fevers,  especially 
if  the  stomach  is  involved.  Also  indication  of  indiges- 
tion, in  which  cases  the  edges  are  mostly  red. 

Purple  or  livid,  indicates  defective  oxygenation  of 
blood. 

Fissured  tongue  :  In  advanced  stage  of  febrile  diseases 
refers  us  to  lesions  of  kidneys  or  irritation  of  nerve  cen- 
ters. 

Dry  tongue,  sign  that  digestive  organs  can  do  but 
little  work  and  need  rest. 

Vivid  whiteness  of  tongue  evidences  simple  functional 
wrong  and  is  associated  with  the  febrile  state. 

Thin,  transparent  coating  of  tongue,  shows  enfeebled 
digestive  function. 


2lB  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Fur  on  tongue,  that  can  be  scraped  off  if  uniformly 
distributed,  evidently  means  impaired  intestinal  tract. 
If  restricted  to  the  base  only,  there  is  greater  wrong  of 
the  stomach. 

Heavily  loaded  tongue  calls  our  attention  to  accumu- 
lations in  the  stomach. 

Yellow  coating  arises  from  wrong  of  the  hepatic  func- 
tion. 

Bright  redness  of  tip  and  edges,  especially  of  papillae, 
is  an  evidence  of  irritation  with  determination  of  blood. 
It  suggests  care  in  the  use  of  remedies. 

Broad  and  pallid  tongue,  marked  want  of  color,  shows 
an  excess  of  acids  and  a  want  of  alkaline  body  elements. 

Dryness  we  associate  with  excitation  of  the  nerve 
center  and  vascular  excitement,  with  arrest  of  secretion. 
If  in  acute  disease  where  there  has  been  dryness  of 
tongue,  it  becomes  moist,  it  shows  that  the  nerve  centers 
are  relieved  and  secretion  commenced.  If  in  case  of 
feeble  innervation  from  the  sympathetic  with  moist,  re- 
laxed tongue,  the  tongue  gets  dry  and  becomes  firmer, 
we  know  that  the  nervous  system  has  been  stimulated  and 
it  is  often  the  first  indication  of  improvement.  All  shades 
of  brown  and  black  show  the  typhoid  condition  and 
strongly  indicate  antiseptics. 

Dirty  fur,  is  an  indication  of  sepsis. 

Small  tongue,  full  in  center,  covered  with  a  tenacious 
coat,  shows  marked  disturbance  of  brain,  unless  there  is 
acute  disease  of  the  ear  or  eyes. 

Contraction  is  always  a  sign  of  excitation  of  the 
nervous  system. 

Fullness  of  tongue  has  the  opposite  meaning. 

Elongated  and  pointed  tongue,  refers  us  to  stomach 
and  intestinal  canal;  it  is  also  one  of  the  expressions  of 
disease  of  the  base  of  the  brain. 

Tongue  covered  with  a  grayish  or  yellowish  fur, 
showing  small  patches  of  red  distributed  uniformly  over 
surface,  is  the  tongue  of  scarlet  fever,  the  so-called  straw- 
berry tongue. 

Tongue  'broad,  flabby,  with  white  or  yellowish  coat- 
ing, indented  edges,  we  see  in  bilious  conditions. 

Movement  sometimes  is  very  important  in  determin- 


TONGUE    INDICATIONS  219 

ating  the  condition  of  the  brain.  If  person  has  full  com- 
mand over  it,  we  take  it  for  granted  that  the  functions 
of  the  brain  are  well  performed  yet.  If  protruded  with 
difficulty,  tremulous,  or  inclined  to  one  side,  we  have 
proportional  cerebral  lesion  of  the  brain.  Still  where 
certain  parts  only  are  affected  this  may  not  be  so. 

Eroded  appearance  of  papillae  at  the  tip  of  the  tongue, 
looking  like  small,  red  rose  colored  bubbles,  shows  a 
peculiar  wrong  of  the  nerve  centers  and  of  brain.  It 
indicates  rhus  tox  as  remedy. 

Deep,  red  tongue,  usually  contracted,  dry,  evidences 
a  want  of  acids  in  the  system. 

Deep  red  or  violet  colored  mucous  membrane,  with 
fullness,  is  evidence  sepsis,  it  indicates  baptisia.  In  some 
cases  acids  should  also  be  given. 

Full,  color,  with  violet  shade,  superficial  and  trans- 
parent, indicates  nitric  acid. 

Large,  thick  in  center,  with  incurved  edges  and  a  dull 
blue  leaden  color,  is  one  of  the  strongest  indications  for 
arsenicum. 

Same  dull  leaden  color,  with  no  change  in  size  or 
shape,  indicates  phosphorus  or  hypophosphites. 

Slick,  raw,  beef  tongue,  the  papillae  wholly  effaced, 
evidences  sepsis,  is  one  of  the  most  marked  typhoid 
symptoms.  Color  is  usually  deep  and  it  indicates  acid& 
or  baptisia. 

Dirty  tongue,  pallid,  is  the  indication  for  bicarbonate 
or  sulphite  of  soda. 

Dirty  tongue,  with  natural  redness,  we  can  use  sul- 
phurous acid  or  sulphate  of  magnesia. 

Dirty,  with  increased  redness,  muriatic  acid. 

Full,  leaden  color,  grayish  white,  indication  for  kali 
mur.  x. 


22O  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

URINE,  CLINICAL  EXAMINATION. 

Blue  litmus  paper  immersed  in  urine  turning  red, 
shows  that  urine  is  acid. 

Red  litmus  paper  immersed  in  urine,  turning  blue, 
shows  that  urine  is  alkaline. 

Red  litmus  paper  immersed  in  urine,  turning  blue  and 
returning  to  red  on  drying  shows  that  the  urine  contains 
a  volatile  alkali  (ammonium  carb.) 

Scanty  and  high  colored  urine  is  associated  with  acute, 
febrile  and  inflammatory  diseases ;  pale  urine  with  dis- 
eases of  relaxations. 

Deposits,  ropy  and  viscid.  Add  a  drop  of  nitric  acid ; 
if  wholly  or  partly  dissolved  it  is  composed  of  phosphates, 
but  is  slightly  affected  with  mucus.  If  deposits  fall  like 
a  creamy  layer  to  the  bottom  of  a  vessel,  the  supernatant 
urine  being  coagulable  by  heat,  it  consists  of  pus. 

Opaque  from  presence  of  a  light  flocculent  matter, 
diffused  through  it,  having  neither  the  tenacity  of  mu- 
cus nor  dense  opacity  of  pus,  a  little  placed  in  a  tube 
with  equal  bulk  of  liquor  potassae  will  often  become  a 
stiff,  transparent  jelly.  This  shows  presence  of  the  ex- 
udation or  large  organic  globules  formed  under  the  in- 
fluence of  irritation,  providing  the  urine  does  not  co- 
agulate by  heat;  should  it  do  so  minute  quantities  of 
pus  may  be  suspected. 

Deposits,  flocculent,  easily  diffus.ed  on  agitation, 
scanty,  not  disappearing  on  addition  of  nitric  acid,  are 
chiefly  made  up  of  healthy  mucus,  epitheleal  debris  or 
occasionally  in  wromen  of  secretion  from  vagina,  leu- 
corrhceal  discharge,  etc.  Heat  urine  over  a  spirit  lamp, 
if  white  deposits  occur  albumen  or  an  excess  of  the 
earthy  phosphates  is  present.  Albumen,  if  a  drop  of 
nitric  acid  does  not  redissolve  the  deposits ;  phosphates, 
if  it  does. 

Highly  colored  urine  not  rendered  opaque  by  boiling, 
the  coloring  matters  of  bile,  or  purpurine  are  present.  To 
determine  which  pour  a  thin  layer  of  urine  on  the  back 
of  a  white  plate  and  drop  a  few  drops  of  nitric  acid  in 
center.  An  immediate  and  rapidly  ending  play  of  colors 


.      URINE,    CLINICAL    KXAM  I  NATION  221 

from  bluish  green  to  red  will  be  observed  if  bile;  but  not 
if  purpurine  exists  alone. 

Highly  colored.  If  it  alters  in  color  and  transparency 
by  heat  the  presence  of  blood  must  be  suspected.  If  addi- 
tion of  nitric  acid  to  deep  red  urine  unaffected  by  heat, 
produces  a  brown  deposit,  excess  of  uric  acid  exists. 

Pale  urine :  Immerse  the  urinometer,  if  specific  grav- 
ity is  below  1012,  there  is  excess  of  water,  if  above  1025 
the  presence  of  sugar  or  superabundance  of  urea  is  in- 
dicated. To  determine  which,  place  a  few  drops  of  urine 
in  a  watch  crystal  and  add  equal  quantity  of  nitric  acid 
and  allow  glass  to  float  on  cold  water.  Crystals  of  ni- 
trate of  urea  will  appear  in  2  or  3  minutes,  if  a  super- 
abundance of  urea  exists.  If  this  change  does  not  occur 
urine  must  be  examined  for  sugar  which  may  exist  in 
small  quantities  without  raising  specific  gravity  of  the 
fluid.  For  this  "Haines'  Sugar  Test"  is  the  best  at  the 
present.  We  therefore  give  the  full  formula : 

Haines'  Sugar  Test : 

Sulphate  of  copper,  gr.  xxx. 

Distilled  water  and  glycerine,  aa  §ss. 

Liquor  potassse,  §v. 

First  thorougly  dissolve  the  sulphate  of  copper  in  the 
distilled  water,  then  add  glycerine  and  mix  well,  then 
add  your  liquor  potassse.  When  ready,  use  as  follows : 
Put  one  drachm  in  a  test  tube  and  gently  boil.  To  this 
add  8  to  10  drops  of  urine  and  again  gently  boil  the 
liquid.  If  sugar  is  present  a  copious  yellow  precipitate 
is  formed.  If  not,  color  of  the  liquid  will  remain  as  be- 
fore. 

An  excess  of  coloring  matter  rich  in  carbon  must 
always  be  sought  after  on  account  of  its  pathological 
importance.  Boil  some  of  the  urine  in  a  test  tube;  while 
hot  add  a  few  drops  of  hydrochloric  acid.  If  an  average 
proportion  of  pigment  exists  a  faint  red  or  lilac  color 
will  be  produced,  but  if  an  excess  is  present  it  will  be 
indicated  by  the  dark  red  or  even  purple  tint  assumed 
by  the  mixture. 


PART   II 


In  this  part  of  the  work  the  primary  use  of  drugs 
is  considered.  As  the  reader  will  notice,  most  of  them  are 
in  dilutions  and  triturations,  although  a  few  are  in  tinc- 
ture form,  in  which  case  this  fact  is  mentioned. 

The  homoeopathic  dilutions  and  triturations  are  the 
best  to  use,  especially  in  the  higher  potencies. 

Those  who  desire  to  make  their  own  lower  dilutions 
and  triturations,  will  find  full  particulars  in  regard  to 
that  in  part  I  of  this  work,  under  the  heading  "Forms  of 
Medicine." 

In  becoming  familiar  with  the  basic  indications  for 
a  drug  in  its  primary  form,  it  should  be  remembered  that 
one  prominent  indication  does  not  always  show  that  it 
is  the  particular  drug  to  use.  It  is  often  better  to  look 
further ;  and  if  there  are  twro  or  three  prominent  indica- 
tions for  it  you  will  not  be  disappointed.  When  the  indi- 
cated remedy  aggravates  the  symptoms  it  is  a  sign  that 
it  is  given  in  too  large  or  too  frequent  doses.  In  such 
cases  it  is  well  to  reduce  the  dose  to  one-half  or  less  and 
give  at  longer  intervals.  A  mistake  easily  made  in  the 
use  of  drugs  in  their  primary  form  is  to  give  medicine 
in  too  large  doses  and  too  often,  some  of  the  high  poten- 
cies especially.  Of  course,  in  emergencies  and  in  severe 
acute  cases,  frequently  repeated  doses  are  necessary  until 
the  danger  is  past. 

If  the  indicated  remedies  fail  to  act  do  not  condemn 
them,  as  further  investigation  will  prove  that  there  is  a 
cause  for  it.  There  may  be  constitutional  syphilis,  sup- 
pressed gonorrhoea,  suppressed  eruptions,  or  constitu- 
tional conditions  the  result  of  accident  or  vaccination. 
These  conditions  removed  or  corrected  by  the  proper 
remedies,  the  result  will  be  prompt  response  to  your  in- 
dicated remedies.  If  there  is  constitutional  syphilis  mer- 
curius  vivus  3od  should  be  given.  If  this  trouble  has 
been  treated  with  large  doses  of  mercury  in  its  secondary 
form,  nitric  acid  3d  is  the  remedy  to  use. 

If  there  is  a  condition  of  psora  we  think  of  such  rem- 


224  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

edies  as  sulphur  6x ;  graphites  6x  or  higher ;  psorium  30 
or  causticum  I2d  as  may  be  indicated. 

In  sycosis  we  think  of  nitric  acid  3d;  thuja  6d  to  3od ; 
staphisagria  3d  to  I2d;  and  in  some  cases  sabina  6d. 

Suppressed  eruption  is  often  the  reason  that  the  indi- 
cated remedies  will  not  act.  Get  the  history  of  the  case, 
and  if  you  can  trace  it  give  the  proper  remedies  to  re- 
establish the  same.  For  this  we  find  sulphur  6x ;  graph- 
ites 6x  to  I2x;  arsenicum  album  I2x  or  higher;  causti- 
cum I2d  to  3od,  or  psorium  3od  are  useful  remedies. 

As  stated  before  in  severe  acute  cases,  often  repeated 
doses  must  be  given  until  the  condition  improves  when 
medicine  should  be  given  in  smaller  doses  and  at  longer 
intervals.  In  emergency  cases  such  as  hemorrhages, 
croup,  convulsions,  cholera,  collapse,  etc.,  medicines  may 
be  administered  even  as  often  as  every  5  to  15  minutes 
as  the  case  demands. 

In  chronic  cases,  we  often  find  that  two  or  three  doses 
a  day  act  better  than  if  given  oftener.  In  these  condi- 
tions the  doses  should  be  decreased  and  medicines  given 
at  longer  intervals  when  the  trouble  subsides.  When 
fully  corrected  it  is  best  to  discontinue  or  take  an  occa- 
sional dose  for  a  short  time  only. 

.The  reader  will  notice  in  this  part  of  the  work  that 
quite  a  number  of  remedies  are  mentioned,  without  giv- 
ing their  special  indications  in  certain  conditions,  and  at 
that  particular  place.  This  does  not  mean  that  any  of 
the  remedies  or  all  should  be  used  for  such  conditions ; 
but  it  is  simply  meant  to  serve  as  a  guide  to  what  drugs 
to  use  in  certain  conditions ;  thus  making  it  easier  to 
reach  the  specially  indicated  remedy. 

In  the  following  table  drugs  are  given  in  solution 
with  water  in  the  proportion  stated.  This,  however,  is 
only  to  serve  as  a  guide  and  the  physician  must  use  his 
own  judgment  as  to  dose  and  time  of  giving  the  medi- 
cine to  his  patients.  Where  two  to  four  doses  of  medi- 
cine are  taken  a  day  it  is  best  to  take  it  about  ten  to 
twenty  minutes  before  meals,  and  perhaps  also  before  re- 
tiring. 

Although  triturations  are  given  in  solution  in  the 
table,  many  of  them  are  often  administered  in  powder 
form  or  in  tablets. 


DOSKS  OF  DRUGS   IN   T1IKIK    I'KI.MARV   FORM 


225 


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MATERIA  MEDICA  AND  THERAPEUTICS. 

Primar}'  Action. 
Indications  for  Drugs  in  their  Primary  Form. 


Acid  Muriatic,     i  to  3d. 

A  remedy  that  is  useful  in  some  desperate  conditions, 
especially  of  typhoid  nature.  Patient  is  so  weak  that 
he  slides  to  the  foot  of  the  bed.  Tongue  dry,  shrunken 
and  almost  paralyzed.  Lower  jaw  drops  down,  pulse 
intermits  and  is  very  weak.  Feces  and  urine  are  passed 
involuntary.  Stools  are  thin  and  of  dark  color  or  of  hem- 
orrhagic  nature,  showing  decomposition  of  fluids  in  the 
body.  There  may  be  ulcers  of  bluish  color  in  the  mouth. 
Patient  moans  from  weakness  and  is  unconscious.  In 
other  conditions  we  find  that  sensitiveness  to  touch  is 
quite  a  prominent  indication.  Hemorrhoids  of  bluish 
nature  so  sensitive  that  patient  cannot  bear  the  touch 
of  underwear.  In  the  bladder  there  is  lack  of  force,  urine 
passes  slowly  and  patient  must  bear  so  hard  as  to  pro- 
trude the  rectum.  Prolapsus  ani,  where  the  rectum  comes 
down  when  bowels  move,  when  passing  water  or  even 
when  passing  flatus. 

Acid  Nitric.     3d  or  Higher. 

This  is  one  of  our  best  remedies  in  many  forms  of 
gastric  troubles  with  sour  or  acid  taste.  Vomiting  as  a 
result  of  fermentation,  vomit  sour.  There  may  or  may 
not  be  in  these  conditions  cracked  edges  of  mouth,  aph- 
thae, stomatitis,  salivation  or  bad  odor  from  mouth  or 
nose.  In  spongy  and  swollen  gums,  ulcers  in  mouth  or 
throat,  salivation  from  the  abuse  of  mercury  in  its  secon- 
dary form,  this  is  our  best  remedy.  It  is  therefore  indi- 
cated in  syphilis  in  its  secondary  form  that  has  been 
treated  abusively  with  mercury.  Cracks  or  fissures  at 
any  or  all  orifices  of  the  body  where  the  mucous  mem- 
brane joins  the  skin.  Hemorrhages  from  any  or  all  ori- 
fices of  the  body  where  the  blood  is  more  of  a  bright  red 
color.  Urine  is  generally  dark  and  has  the  odor  of  horse 
urine.  Severe  pain  after  each  stool  which  continues  for 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM         23! 

some  hours,  compelling  patient  to  walk  to  get  a  little 
relief.  This  applies  to  rectal  trouble,  diarrhoea,  dysen- 
tery or  constipation.  Hemorrhoids  of  nitric  acid  are 
very  sore  and  protrude,  being  external,  where  mucous 
membrane  joins  the  skin. 

Acid  Phosphoric.     30  or  Higher. 

In  young  people  who  are  thin  and  grow  too  fast. 
Marked  depression  as  a  result  of  masturbation,  excess  in 
sexual  intercourse  or  overwork  mentally  or  physically, 
general  weakness  and  prostration,  get  weak  and  old  be- 
fore their  time.  Heavy  pressing  pain  on  vertex  or  pain 
in  occiput.  In  typhoid  conditions  we  find  the  marked 
depression,  stool  and  urine  very  offensive.  In  diarrhoea 
bowels  rumble  as  if  from  water  or  fluid.  Color  of  stool 
yellow  or  white  and  thin  and  watery,  however,  stools 
are  painless :  but  there  is  generally  distention  of  abdo- 
men. Feels  weak  in  chest,  especially  from  talking.  In 
cough  the  expectoration  is  purulent,  offensive  and 
generally  very  profuse.  Urine  very  profuse  and  clear 
as  a  result  of  nervous  depression.  IIT  some  cases 
the  urine  is  of  a  milky  color  the  result  of  excessive 
amount  of  phosphates  and  nerve  waste.  Headache  in 
school  children  that  grow  too  fast  is  often  relieved  by 
phosphoric  acid.  For  mental  symptoms  see  proper  head- 
ing. 

Acid  Sulphuric,     id  to  3d. 

A  sense  of  internal  trembling,  without  visible  trem- 
bling, especially  in  weak  subjects,  is  a  prominent  indica- 
tion for  sulphuric  acid.  Hemorrhages  from  any  or  all 
orifices  of  the  body  and  purpura  hemorrhagica  often  as- 
sociated or  followed  with  ecchymosis,  showing  the  weak, 
relaxed  condition  of  the  capillary  \essels.  In  debility 
with  sore  mouth,  sour  stomach.  In  children  the  whole 
body  may  smell  sour,  even  if  kept  perfectly  clean. 

Aconite.     3d   to    i2d. 

In  marked  inflammatory  fevers  if  indicated.  There  is 
restlessness,  heat  with  thirst,  dry  hot  skin,  patient  tosses 
about,  fears  death ;  but  there  is  no  delirium  or  if  so  only 


232  MATKKIA    MKDICA   AXT)  CLINICAL  Tl I  KR. \PEUTICS 

mild.  Distress  in  chest,  pain  with  anxiety,  fear  and 
restlessness.  Pain  worse  evenings  or  at  night.  Cannot 
bear  to  be  touched  nor  to  be  uncovered  and  cannot  bear 
the  pain,  pain  is  tearing  and  cutting.  There  is  always 
unreasonable  fear  and  fear  of  death  in  an  aconite  pa- 
tient. Many  conditions  the  result  of  fright  may  be  cor- 
rected by  this  remedy;  also  acute  inflammation  arising 
from  dry  cold  air. 

Alee  Socotrina.     126  or  Higher. 

Great  weakness  in  sphincter  ani  either  in  diarrhoea, 
dysentery  or  constipation.  Sensation  of  fullness,  heavi- 
ness and  heat  in  the  abdomen,  pelvic  organs  and  rectum. 
Diarrhoea  or  dysentery,  urgent,  has  to  get  there  in  a 
hurry  or  stool  will  escape.  Conditions  worse  in  the 
morning  and  in  hot  weather.  Stool  yellow  or  yellow  and 
bloody,  may  be  of  a  jelly-like  nature,  passing  away  in 
great  masses,  even  when  urinating  or  passing  flatus.  A 
good  deal  of  rumbling  in  bowels  before  they  move.  Eat- 
ing, drinking,  standing  or  moving  about  aggravate 
diarrhoea.  With  dysentery  there  may  be  severe  tencs- 
mus,  clammy  sweats  and  marked  prostration.  Tn  consti- 
pation the  great  weakness  of  the  rectum  shows  itself  by 
solid  stool  passing  away  unnoticed  at  times. 

Alumina,     sod  or  Higher. 

This  remedy  is  best  adapted  for  thin,  spare  subjects, 
but  may  be  used  in  others  when  indicated.  This  is  a  val- 
uable remedy  in  chlorosis ;  patient  is  pale  and  weak  and 
feels  exhausted;  menses  scanty  and  delayed  and  of  pale 
color;  feels  weak  and  exhausted  after  menses.  In  these 
cases  there  may  be  a  craving  for  chalk,  charcoal,  starch, 
etc.  Leucorrhcea  as  profuse  as  if  menstruating.  In 
bowel  and  rectal  troubles  we  find  that  there  is  marked 
inactivity  of  the  latter,  so  much  so,  that  even  soft  stool 
requires  considerable  straining.  It  appears  that  the 
mucous  follicles  are  too  dry  and  as  a  result,  the  constipa- 
tion. In  infantile  constipation  it  is  one  of  our  best  rem- 
edies. In  hemorrhages  of  the  bowels  in  typhoid  fever, 
blood  passing  in  clots  resembling  pieces  of  liver.  Weak- 
ness and  heaviness  in  legs,  can  hardly  move  them,  can- 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM         233 

not  walk  with  eyes  closed ;  may  be  pain  in  back  with 
burning  as  if  from  a  hot  iron.  Numbness  of  heels  when 
stepping"  on  them.  Of  value  in  the  early  stage  of  locomo- 
tor  ataxia.  Repugnance  to  and  cannot  bear  potatoes.  In 
clergymen's  or  speakers'  sore  throat.  Throat  is  dry  and 
feels  raw  and  sore,  warm  drinks  or  food  give  momentary 
relief,  continual  hawking  which,  after  a  long  while,  re- 
sults in  raising  a  little  phlegm,  which  is  thick  and  at 
times  sticky.  There  may  be  a  sensation  in  throat  as  if 
there  was  something  sharp  irritating  it;  and  a  feeling  of 
constriction  with  painful  deglutition. 

Ammonium  Muriaticum.     3  to  i2x. 

In  constipation,  where  stool  is  dry,  hard  and  crum- 
bling and  hard  to  pass.  May  be  covered  with  mucus, 
giving  it  an  appearance  as  if  it  were  covered  with  grease. 
A  sensation  as  if  tendons  in  legs  were  contracted,  worse 
sitting,  less  so  walking,  ameliorated  lying  down.  Pains 
in  heels,  of  bruised  sore  nature.  A  cold  sensation  be- 
tween shoulders,  especially  in  affections  of  the  chest. 
In  women,  menses  only  flow  at  night. 

Anacardium  Orientale.     3od. 

In  stomach  troubles  in  which  the  pain  is  most  severe 
2  to  3  hours  after  eating.  Eating  gives  relief.  Vomiting 
of  coffee-ground  material.  Desire  to  go  to  stool  without 
results,  the  cause  being  deficient  nerve  force  in  the  rec- 
tum. A  sense  as  if  there  was  a  lump  in  rectum.  As  to 
mind,  patient  seems  to  have  two  wills,  one  of  which  tells 
him  to  do  the  opposite  of  what  the  other  wants.  A 
strong  tendency  or  desire  to  swear.  A  sensation  as  of 
a  plug  in  any  part  of  the  body;  or  as  -if  a  hoop  were 
around  parts. 

Antimonium  Crudum.     3x  to   i2x. 

A  remedy  that  is  indicated  in  conditions  of  the  ali- 
mentary canal  in  which  the  tongue  is  coated  with  thick 
white  layer.  Diarrhoea  alternates  with  constipation. 
Summer  diarrhoea,  especially  in  hot  weather  and  from 
errors  in  diet.  In  mucous  hemorrhoids.  Mood  in  chil- 
dren is  such  that  they  do  not  want  anvone  to  look  at 


234  MATER  L\  MED  1C  A  AND  CLINICAL  THERAPEUTICS 

them  or  touch  them.  In  gastric  or  remittent  fever  with 
the  characteristic  tongue,  fever  high,  especially  at  night 
and  with  intense  thirst.  Edge  of  nose  or  corners  of 
mouth  may  be  cracked  and  crusts  form  on  them.  Nails 
on  ringers  grow  in  splits  with  horny  spots  on  them. 
Toe  nails  are  long  and  crippled,  brittle  or  will  not  grow. 
Corns  or  hard  growths  on  soles  of  feet,  very  tender  to 
touch.  Tenderness  of  soles  of  feet  is  a  prominent  indica- 
tion in  rheumatism  as  well  as  many  other  conditions. 
Most  troubles  worse  or  aggravated  in  hot  weather,  es- 
pecially from  the  heat  of  the  sun,  still  cold  baths  aggra- 
vate conditions.  A  remedy  of  value  in  toothache,  diar- 
rhoea, gastric  troubles,  headache,  suppressed  menses,  etc., 
resulting  from  cold  baths.  In  chronic  red  eyelids  it  is 
of  value.  Gastric  troubles  from  eating  sour  foods  or 
from  acids.  Hemorrhage  profuse  from  bowels  where 
blood  is  mixed  with  solid  faeces. 

Antimonium  Tartaricum.     3x. 

In  chest  affections,  with  much  accumulation  of  mu- 
cus, coarse  rattling,  and  inability  to  raise  it.  Patient 
in  these  conditions  is  often  very  drowsy  and  sleepy,  face 
pale  or  cyanotic.  Useful  in  stage  of  hepatization  in 
pneumonia  with  above  symptoms.  A  useful  remedy  in 
cholera  infantum  and  one  of  our  best  in  cholera  morbus. 
Intense  nausea  with  relief  after  vomiting.  Marked  pros- 
tration, drowsiness  and  even  stupor  and  coma.  In  these 
cases  stool  is  generally  profuse. 

Apis  Mellifica.     3  to  6d. 

Stinging,  burning  pain  relieved  by  cold.  In  acute 
eruptions  of  the  skin  or  suppression  of  eruptions.  In  af- 
fections of  the  brain  or  severe  diseases  where  there  is 
involvement  of  the  brain,  with  sudden  piercing  and  shrill 
scream,  with  above  indications.  Stinging  and  burning 
pain  anywhere  or  in  any  condition.  Ameliorated  by  cold 
applications  means  apis  m.  In  oedematous  swellings  in 
throat,  especially  where  patient  may  be  in  danger  of  suf- 
focation from  oedema,  be  this  in  diphtheria,  tonsillitis  or 
other  conditions,  apis  is  our  best  remedy.  Useful  in 
(edema  in  any  part  of  the  body,  but  it  acts  more  strongly 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM         235 

on  the  throat,  face  and  lower  eyelids  than  any  other  part 
of  the  body.  CEdema  without  thirst;  very  sensitive  and 
tender  to  touch.  Sleep  restless,  and  in  brain  troubles 
there  may  be  stupor  with  a  sudden  scream  occasionally. 
In  inflammatory  conditions  where  patient  is  alternately 
hot  and  cold  or  perspiring  we  think  of  apis.  A  sensation 
as  if  every  breath  patient  draws  would  be  the  last.  A 
valuable  remedy  in  acute  or  chronic  conditions  where 
indicated.  We  think  of  it  in  severe  cases  of  brain  troub- 
les, suppressed  eruptions,  with  resulting-  brain  effusions, 
post-scarlatinal  dropsy,  etc. 

Argentum  Nitricum.     3od  or  Higher. 

Especially  useful  in  chronic,  although  useful  at  times 
in  acute,  cases  in  people  or  children  that  look  old  and 
dried  up.  Sensation  of  expansion  in  any  part  of  the 
body  but  especially  in  the  head,  which  feels  as  if  it  was 
of  enormous  size.  Tight  bandage  ameliorates.  Head- 
ache with  sensation  of  expansion.  Vertigo  with  noise 
in  the  ears;  patient  staggers  when  walking  with  closed 
eyes;  sight  of  high  buildings  makes  him  dizzy.  In  some 
cases  it  looks  to  the  patient  as  if  high  buildings  were 
projecting  towards  him  and  he  is  afraid  that  they  may 
fall  on  him.  Great  weakness  and  general  debility,  there 
may  be  sensation  of  or  actual  trembling.  Hurried  feel- 
ing, always  in  a  hurry.  Great  weakness  in  chest.  In 
digestive  troubles  where  there  is  a  craving  for  sugar, 
tongue  has  red  tip  which  feels  painful.  Great  clistention 
of  abdomen  after  meals  with  tendency  to  belch,  which 
is  only  succeeded  in  with  great  difficulty ;  flatus  after  a 
while  is  passed  with  much  noise.  In  diarrhoea  of  green- 
ish mucus,  though  stool  may  vary  in  color,  which  is 
passed  with  spluttering  noise.  In  children  if  the  stool 
is  not  green  will  turn  green  in  a  short  while.  Diarrhoea, 
result  of  immediate  apprehension.  In  the  throat  we 
have  hawking  cough  with  tenacious,  thick  expectoration 
which  keeps  patient  hawking  to  raise,  often  resulting  in 
hoarseness.  Throat  feels  as  if  there  were  splinters  in  it, 
causing  scraping  rawness  and  soreness.  Sore  throat  of 
public  speakers.  Pain  in  lower  part  of  back  aggravated 
when  rising  from  chair;  but  ameliorated  by  walking  and 


236  MATKRIA    MKDICA  AND  CLINICAL  THERAPEUTICS 

standing  up.  General  weak,  tired  feeling  in  arms  and 
calves  of  legs.  Useful  in  cases  of  epilepsy  or  convulsions, 
where  pupils  are  dilated  some  days  before  the  attack. 
Restlessness  precedes  the  convulsions  a  short  time  before 
attack.  In  paralysis  from  the  depressing  effect  of  diph- 
theria this  remedy  is  very  good.  Paraplegia,  the  result 
of  marked  debility.  Argentum  is  useful  in  many  forms 
of  dvspepsia  or  gastralgia  if  indicated.  Gastric  ulcers 
have  been  cured  by  this  remedy.  In  purulent  ophthalmia 
this  is  our  best  remedy.  In  severe  forms,  even,  where 
cornea  looks  as  if  it  would  slough,  discharge  profuse  and 
purulent,  chemosis  intense. 

Arnica.     3d  to  i2d. 

Bruised,  sore  feeling  all  over  the  body  or  in  parts 
only.  This  ma}7  be  in  disease  or  from  a  bruise  to  the 
muscles  or  tissues  of  the  body  no  matter  where.  Head 
or  face  hot,  body  cool,  especially  the  lower  extremities. 
In  women  there  may  be  a  bruised  feeling  in  uterus,  so 
much  so  that  the  patient  cannot  walk  erect.  A  mental 
symptom  in  some  conditions  is  that  patient  is  in  fear  of 
being  touched  or  struck  by  anyone  coming  up  to  him. 
Fetid  odor  of  breath.  Flatus  has  very  offensive  odor 
similar  to  rotten  eggs.  Arnica  will  prevent  suppuration 
if  given  early  and  favors  absorbtion.  In  typhoid  condi- 
tions where  there  is  a  sore,  bruised  feeling  all  over  pa- 
tient, changing  position  continually,  bed  seems  too  hard 
to  lie  on.  Face  dark  red,  stool  and  urine  passing  away 
involuntarily,  stupor  from  which  patient  can  hardly  be 
aroused  long  enough  to  answer  a  question;  Fetid  odor 
of  mouth  and  eructations.  Flatus  offensive  like  rotten 
eggs.  Tongue,  dark  brown  streak  through  center. 

Arsenicum  Album.     i2x. 

A  remedy  of  value  in  both  acute  and  chronic  condi- 
tions, but  especially  in  the  former.  In  acute  conditions, 
especially  in  latter  stages  when  patient  is  very  weak  and 
restless,  wants  to  be  moved  all  the  time,  being  too  weak 
to  move  himself.  There  is  often  a  hopeless  fear  in  these 
conditions.  Burning  sensation  and  restlessness  are 
prominent  indications  for  this  remedy.  Burning  ameli- 


INDICATIONS  FOR  DRUGS  IN  THEIR   PRIMARY  FORM  237 

orated  by  heat.  Symptoms  of  arsenicum  are  aggravated 
at  about  midnight,  say  it  P.  M.  to  I  or  2  A.  M.  Mouth 
dry,  intense  thirst,  but  only  little  water  taken  at  a  time. 
Hot  drinks  may  be  borne,  but  cold  aggravates  and  causes 
pain,  distress  and  vomiting.  In  coryza,  diarrhoea  and  af- 
fections of  the  lungs  arsenicum  if  often  indicated.  Op- 
pressive breathing  with  wheezing  cough,  and,  if  any 
expectoration,  it  is  frothy ;  cannot  breathe  well  when 
lying  down.  In  arsenicum  we  find  great  prostration, 
be  this  in  acute  or  chronic  conditions,  the  slightest  exer- 
tion exhausts.  In  skin  troubles  it  is  indicated  mostly  in 
the  dry  and  scaly  form  or  suppressed  eruptions.  This 
remedy  has  a  wide  range  of  usefulness  both  in  acute  and 
chronic  conditions  such  as  coryza,  diarrhoea,  typhoid, 
eruptive  diseases  or  suppressed  eruptions,  etc.  How- 
ever, we  should  never  forget  its  basic  indications. 
Burning  sensation  ameliorated  by  heat ;  this  may  be 
on  the  surface,  in  the  alimentary  canal  or  anywhere. 
Marked  prostration  and  restlessness  and  aggravation 
about  midnight  from  n  P.  M.  to  I  or  2  A.  M. 

Aurum  Metallicum.     3ox  or  Higher. 

This  remedy  is  indicated  in  depression  with  desire 
to  commit  suicide.  Person  is  gloomy  and  despondent 
and  wants  to  die.  In  liver  troubles  of  men  we  often  find 
this  condition  of  mind  ;  while  in  women  these  mind  symp- 
toms are  often  the  result  of  enlarged  or  prolapsed  uterus. 
In  fatty  degeneration  of  the  heart.  In  corpulent  old  peo- 
ple. In  old,  corpulent  people  with  fatty  heart,  who  have 
severe  palpitation  of  the  heart  with  throbbing  carotids 
and  a  sense  of  oppression  in  chest  and  feeling  of  anxiety, 
it  is  a  useful  remedy.  In  caries  of  the  bones  and  more 
particularly  of  the  long  bones,  nose,  palate  or  mastoid 
process  it  is  a  valuable  remedy,  especially  if  the  result 
of  syphilis.  A  valuable  remedy  in  bone  pains  so-called. 
In  hardening  of  the  testicles  of  the  male  and  uterus -in  the 
female.  In  congestion  or  fatty  degeneration  of  the  liver, 
heart  or  kidneys  with  the  peculiar  mind  symptoms  it  is 
a  valuable  remedy. 


238  MATERIA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Baptisia.     2d. 

Baptisia  is  a  remedy  which  is  very  often  indicated 
in  typhoid  or  typhoid  conditions.  The  patient  aches  all 
over,  is  nervous  and  feels  chilly.  Aching  pains  in  the 
back,  head  and  lower  extremities.  There  is  a  sore, 
bruised  feeling  all  over  the  body.  Later  in  these  condi- 
tions patient  gets  weaker  and  weaker,  becomes  drowsy 
and  often  falls  into  a  stupor  from  which  he  can  hardly 
be  aroused.  When  aroused  to  answer  any  question  he 
will  fall  asleep  before  answering  or  finishing  what  he 
wants  to  say.  Face  dark  red,  dull  and  bloated  in  ap- 
pearance. Feels  as  if  scattered  all  over  the  bed  and  will 
often  toss  from  one  side  to  the  other,  trying  to  get  him- 
self together.  Stool  dark  and  very  offensive  with  rum- 
bling in  the  ileo-caecal  region.  Urine  and  sweat  also 
offensive.  Tongue  at  first  white,  later  on  a  dark  or 
brownish  streak  forms  all  along  the  center  of  the  tongue. 

Baryta  Carbonica.     6x. 

Tonsillitis  or  chronic  enlargement  of  the  tonsils  from 
every  little  cold,  or  suppressed  sweating  of  the  feet. 
P>ody  sensitive  to  cold  and  damp  weather,  especially  the 
head.  In  general  marasmus  of  the  young  or  old ;  but 
especially  where  the  abdomen  is  very  large  and  with  a 
tendency  to  glandular  swelling.  In  children  that  do 
not  grow  and  are  weak  in  body  and  mind,  often  with 
large  heads  that  are  out  of  proportion  to  the  body ;  idiots. 
In  the  old  that  are  feeble,  childish  and  who  suffer  from 
loss  of  memory.  Good  appetite  but  grows  poor,  showing 
lack  of  assimilation.  Offensive  sweating  of  feet. 

Belladonna.     3  to   i2d. 

One  of  the  delirium  and  head  remedies.  Head  hot, 
extremities  cold,  face  red  and  often  purple,  throbbing 
carotids,  eyes  bloodshot,  wild  delirium,  showing  en- 
gorgement of  the  brain.  Delirium,  fears  imaginary 
things,  and  is. violent  and  hard  to  control.  Upper  lip 
may  be  swollen.  Localized  inflammation  or  boils  in  first 
stage,  coming  on  suddenly,  painful,  throbbing  and  of 
deep  red  color.  Inflammation  and  fever  coming  on  sud- 
denly without  warning.  Pain  appears  suddenly  and  dis- 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM         239 

appears  suddenly.  Headache  worse  on  stooping  down 
or  lying  down,  relieved  by  bending  head  back.  Burning 
dryness  of  throat,  constant  desire  to  swallow  to  relieve 
the  dry  sensation.  Marked  tenderness  in  abdomen  which 
is  aggravated  by  least  jar  or  motion.  When  head  is  un- 
covered or  not  bundled  up  in  cold  weather,  will  easily 
take  cold.  Patient  takes  cold  easily  from  hair  cutting. 
Shining,  smooth,  uniform,  red  surface,  so  hot  as  to  cause 
a  burning  sensation  to  hand.  Convulsions  with  bella- 
donna symptoms.  In  females,  pressing  downwards  as 
if  vulva  would  come  out;  aggravated  in  morning.  Pain 
in  back  as  if  it  would  break. 

Berberis  Vulgaris.     sd  to  6d. 

Weakness  and  prostration  in  the  small  of  the  back. 
There  is  a  sore,  lame  feeling  with  stiffness,  aggravated 
by  sitting,  lying  down,  or  getting  up  from  seat.  Often 
there  is  a  numb  feeling  in  back.  All  symptoms  aggra- 
vated by  overexertion.  These  symptoms  as  a  result  of 
wrongs  in  the  kidneys  or  urinary  organs  in  general. 
There  is  change  in  the  urine,  generally  sediment.  Burn- 
ing in  urethra  when  urinating  is  a  prominent  indication, 
as  well  as  the  bubbling  sensation  in  the  region  of  the  kid- 
neys. These  conditions  are  found  more  in  people  that 
are  pale  and  suffer  from  prostration  and  general  weak- 
ness. The  pain  and  weakness  in  the  back,  aggravation 
on  lying  down,  especially  in  the  morning  in  bed,  burning 
in  urethra  when  urinating  are  prominent  indications  for 
this  remedy. 

Borax.     6x  to  I2X. 

Dread  or  fear  of  downward  motion.  In  the  child  we 
notice  that  it  is  afraid  of  falling  and  dreads  every  down- 
ward motion,  even  sometimes  waking  up  with  a  cry, 
holding  on  to  something  for  fear  of  falling  down.  In 
coughs  the  expectoration  has  a  bad  taste.  Chronic  nasal 
catarrh,  where  large  crusts  form  and  form  again  contin- 
ually. Where  eyelashes  turn  inward  and  are  gummy  and 
stick  together  we  think  of  borax.  One  of  our  best  rem- 
edies in  aphthae  with  greenish  stool.  Leucorrhoea  pro- 
fuse and  hot  and  of  starchv  nature.  In  inflamed  condi- 


24O  MATER1A   MliDICA  AND  CLINICAL  THERAPEUTICS 

tions  of  the  urethra,  especially  in  infants  where  they  cry 
even  before  they  urinate. 

Bryonia.     3d  to  6d. 

Aggravation  from  motion.  Pressure  relieves.  Pa- 
tient will  suffer  from  the  slightest  motion.  The  more 
he  keeps  moving  the  part  affected  the  more  he  suffers. 
Stitching  pains  that  come  on  or  are  aggravated  from  the 
slightest  motion.  These  indications  apply  to  any  condi- 
tion where  the  serous  or  mucous  membranes  or  muscular 
tissues  are  involved.  Person  wants  to  lie  on  the  affected 
side.  Excessive  dry  ness  of  mucous  surface  from  lips  to 
anus.  In  constipation  stool  hard  as  if  burnt.  Excessive 
thirst  which  requires  large  quantity  of  water  to  satisfy. 
Hard,  dry  cough.  A  good  remedy  in  second  stage  of 
inflammation  of  serous  membrane,  after  effusion  has  set 
in.  It  favors  absorption  of  exudates.  A  fine  remedy 
in  pleurisy,  peritonitis,  pericarditis.  In  gastric  dis- 
turbances, dietetic  errors,  especially  in  warm  weather 
following  cold  weather.  Bitter  taste,  and  vertigo  when 
rising  from  horizontal  position. 

Cactus  Grandiflorus.     3  to  6d. 

The  main  indication  for  cactus  is  a  sense  of  constric- 
tion in  the  heart,  bladder,  rectum,  uterus  or  vagina.  In 
organic  or  functional  heart  troubles  the  patient  feels  as 
if  an  iron  band  was  around  the  heart  preventing  its  nor- 
mal action.  There  is  often  in  these  cases  difficult  breath- 
ing, palpitation  and  fluttering  of  the  heart,  pulse  irreg- 
ular, intermittent  and  very  faint  at  times.  Suffocating 
attacks  with  cold  sweat  on  face  and  even  fainting  spells. 
Numbness  of  the  left  arm.  Swelling  of  left  arm  or  leg 
or  both.  Lying  on  left  side  aggravates  palpitation  of  the 
heart.  Rheumatism  beginning  in  the  upper  extremities. 
especially  in  the  joints,  and  going  downwards.  Heart 
troubles  the  result  of  inflammatory  rheumatism.  There 
may  be  in  the  cactus  patient  a  heavy  pain  in  vertex:  of 
a  heavy  'pressure  as  if  a  weight  was  pressing  on  it.  In 
hemorrhages  which  appear  to  be  in  sympathy  with  some 
heart  troubles  the  properly  indicated  remedies  should 
be  supplemented  or  alternated  with  cactus. 


INDICATIONS  FOR  DKl'CS  IN  TI1KIU   PRIMARY  FORM  24! 

Caladium.     3  to  i2(l. 

Perspiration  sweet,  attracting  flies.  Sexual  excite- 
ment and  desire  but  no  erections,  penis  remaining  re- 
laxed. There  is  no  emission  or  orgasm  during  embrace. 
Destroys  craving  for  tobacco.  Pruritus  vaginae  in  preg- 
nant women  with  mucus  discharge. 

Calcarea  Fluorica.     3x  or  6x. 

Syn. — Fluoride  of  lime.     Calcium  fluoride. 

A  deficiency  of  this  in  the  system  will  result  in  re- 
laxation of  the  elastic  fibers  and  dilatation  of  the  blood 
vessels,  especially  of  the  veins.  Therefore  of  value  in 
varicose  veins,  general  relaxation  of  the  blood  vessels 
and  for  this  reason  it  is  a  valuable  remedy  to  alternate 
with  heart  tonics  in  case  of  weak  heart.  We  also  think 
of  it  in  hemorrhoids,  gumboils,  vomiting  of  undigested 
food  when  indicated.  Eye  troubles  where  patient  sees 
sparks  before  the  eyes ;  also  where  there  is  flickering 
before  the  eyes.  In  organic  changes  of  the  heart,  where 
there  are  cardiac  pains,  or  result  of  endo-  or  pericarditis. 
In  valvular  thickening  or  other  heart  troubles  bordering 
011  effusion  it  is  a  good  remedy.  The  average  dose  for 
adults  is  10  to  20  grains  in  2  ounces  of  water,  I  teaspoon- 
ful  every  2  to  4  hours. 

Calcarea  Ostrearum.     3x  to  i2x. 

This  remedy  is  often  indicated  in  fleshy  subjects,  with 
a  marked  tendency  to  obesity.  Skin  pale  and  generally 
soft  and  flabby.  There  is  a  tendency  to  glandular  en- 
largement. Lack  of  bony  development,  some  parts  of  the 
bony  system  often  being  well  nourished  and  developed 
while  others  suffer  from  lack  of  nourishment,  the  result 
of  faulty  nutrition.  In  children  this  is  most  marked;  here 
we  often  find  open  fontanelles  that  close  too  late  or  will 
not  close,  in  which  cases  we  generally  have  profuse 
sweating  on  the  head  or  forehead,  especially  while  asleep ; 
again  in  others  there  may  be  curvature  of  the  spine  or 
deformities  of  the  extremities.  In  digestive  troubles  the 
sourness  of  the  whole  alimentary  tract  is  the  most  prom- 
inent indication.  Patient  smells  sour,  eructation  or  vomit 
sour;  stool  sour.  Milk  often  curdles  and  is  vomited  up 


242  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

in  large  curds.  Large,  distended  abdomen,  mesentery 
often  hard  and  swollen.  Craving  for  eggs.  Sensation 
of  general  or  partial  coldness.  Head  feels  icy  cold  inside 
and  outside ;  cold,  damp  feet  and  legs,  giving  sensation 
as  if  stockings  were  damp.  Very  sensitive  to  cold  air, 
least  cold  air  chills  right  through  ;  sensation  of  internal 
coldness.  In  chest  affections,  especially  where  the  upper 
right  lung  is  affected,  chest  tender  to  the  touch  and  with 
each  inspiration.  In  subjects  with  the  calcarea  ost.  tem- 
perament there  is  hoarseness  without  pain  or  soreness 
aggravated  in  the  morning.  Diarrhoea  or  tendency 
thereto  aggravated  in  the  afternoon.  A  peculiar  indica- 
tion is  that  patient  feels  always  better  when  constipated. 
Partial  sweats.  Profuse  perspiration  with  cold  surface 
which  latter  is  more  marked  in  the  lower  extremities. 
Profuse  perspiration  on  head  or  head  and  face  worse 
while  asleep.  In  night  sweats  of  the  debilitated. 

Calcarea  Phosphorica.     2x  to  3x. 

This  remedy  is  indicated  in  many  conditions  during 
the  time  of  dentition,  puberty  and  sometimes  in  old  age. 
It  "is  a  good  tonic  and  restorative.  A  valuable  tonic  after 
acute  disease  and  where  there  is  emaciation ;  in  fact 
wherever  there  appears  to  be  a  lack  of  the  lime  phos- 
phates in  the  system.  In  children  we  find  that  they  are 
generally  spare,  although  they  may  be  fat,  but  the  bones 
are  often  soft  and  pliable,  the  tissues  soft  and  flabby.  In 
conditions  which  show  debility  and  a  lack  of  proper  as- 
similation calcarea  phos.  is  a  good  remedy.  Marked 
appetite  for  salt  and  sour  foods,  and  in  children  for  ham 
rind.  In  neuralgia  if  worse  in  bad  weather  and  at  night ; 
the  parts  affected  feel  cold  and  numb.  In  brain  fag,  re- 
sult of  illness  or  worry.  In  catarrhal  tendencies,  it  is  a 
good  remedy  if  indicated.  Vomiting  of  undigested  food. 
Diarrhoea  mostly  occurring  during  dentition  in  which 
stool  is  offensive,  hot,  sputtering  and  consists  of  undi- 
gested material.  Soreness  around  the  umbilicus ;  child 
often  craving  for  indigestible  food  and  meat.  In  rheu- 
matism coming  on  in  damp,  cold  weather.  Too  early 
menstruation.  During  puberty  in  anaemic  girls  troubled 
with  headache  in  top  of  head,  flatulent  dyspepsia,  gastric 


INDICATIONS  FOR  DRUGS  IN  THETR  PRIMARY  FORM          243 

headache,  distress  in  gastro-intestinal  tract  which  is  tem- 
porarily relieved  when  food  is  taken  ;  acne  and  in  fact  any 
or  all  of  these  conditions  resulting  from  lack  of  lime  phos- 
phate in  the  system.  Pain  in  the  joints  of  rheumatic  na- 
ture at  every  change  of  weather. 

Calcarea   Sulphurica.     2x. 

Has  a  direct  action  on  all  connective  tissue ;  there- 
fore a  good  remedy  in  abscesses,  suppuration,  tubercular 
ulcers  and  of  benefit  in  some  cases  of  rheumatism.  Aver- 
age dose  for  adults  is  about  20  to  40  grains  in  2  ounces 
of  water,  a  teaspoonful  2  to  4  times  a  day.  In  bad  cases 
of  suppuration  or  abscesses  where  lime  is  indicated  it 
should  be  used  in  large  doses  and  at  shorter  intervals. 

Cantharides.     i2d  or  Higher. 

Frequent  micturition  with  cutting,  burning  pain  is 
a  prominent  indication  for  this  remedy,  no  matter  what 
the  disease.  In  inflammation  of  the  bladder  or  urethra 
where  we  have  violent  burning,  cutting  pain  with  fre- 
quent desire  to  urinate,  urine  is  only  voided  in  very  small 
quantity  or  a  few  drops  only  at  time  with  violent  tenes- 
mus.  The  cutting  pains  are  severe  before,  during  and 
after  urinating.  Severe  burning  or  burning  pain  in  any 
part  of  the  alimentary  canal  from  mouth  to  anus  with 
great  thirst.  Burning-  in  the  larynx,  chest  and  ovaries. 
in  some  cases  we  have  burning  with  stinging.  Skin  af- 
fections in  which  watery  vesicles  form  which  burn  and 
often  itch  also.  In  diarrhoea  writh  mucus,  evacuations 
pale,  red  or  streaked  with  blood  looking  like  scrapings 
from  intestines,  if  the  peculiar  burning  and  stinging  is 
present  in  anus  and  pain  or  colic  is  relieved  after  stool. 
In  inflammation  of  the  eyes  the  result  of  burns.  A  useful 
remedy  in  burns  of  any  kind  in  which  case  cantharides 
added  to  some  soothing  solution  is  also  useful  locally. 
Cantharides  increases  the  secretion  of  mucus. 

Carbo  Vegetabilis.     i2x. 

In  cachectic  people  whose  vital  forces  are  low  this  is 
a  valuable  remedy  both  in  acute  and  chronic  cases.  In 
many  conditions,  ailments  or  diseases  that  have  appeared 
ever  since  an  accident  or  disease  even  if  years  ago,  carbo 


244  MATERTA  MEDICA   AM)  CUNICAI,  THERAPEUTICS 

veg.  is  the  first  remedy  to  be  thought  of.  Spongy  and 
bleeding  gums,  teeth  sore,  acid  condition,  heartburn,  fat 
food  cannot  be  borne  and  even  plain  food  disagrees. 
Flatulence,  especially  in  upper  abdomen,  lying  down 
aggravates.  Hoarseness  worse  in  damp  air  and  evenings. 
In  hemorrhages  of  any  orifice,  blood  oozes  out  as  if  mu- 
cous surfaces  were  too  weak  to  hold  it.  The  blood  is 
dark  and  not  clotted,  showing  that  it  is  broken  down, 
patient  gets  pale  before  hemorrhage  occurs.  In  chest 
affections  there  may  be  a  weak  feeling  or  a  burning  as 
if  from  coals.  It  is  our  best  remedy  in  many  desperate 
conditions  where  the  vital  forces  are  so  low  that  death 
is  imminent,  pulse  is  very  weak  and  may  be  slow  or 
rapid,  thready  and  intermittent.  Surface  is  cold,  especi- 
ally the  legs  and  feet,  which  may  or  may  not  be  covered 
with  cold  sweat.  Breath  becomes  cold,  in  fact  patient 
lies  motionless  as  if  life  were  extinct.  The  patient  wants 
to  be  fanned  in  order  to  be  able  to  breathe.  Blood  may 
almost  become  stagnated  in  the  capillary  vessels,  which 
will  make  the  skin  appear  bluish  and  cool  or  even,  cold 
to  the  touch. 

Caulophyllum  Thalictroides.     i2th. 

Internal  trembling  without  visible  trembling.  Pain 
or  pain  and  swelling  of  the  finger  joints.  Severe  bearing 
down  pain  in  women.  In  these  cases,  if  at  the  menstrual 
period  or  after  confinement  or  abortion  there  is  an  ex- 
cessive flow  and  the  blood  dark,  the  result  of  weakness, 
caulophyllum  is  a  valuable  remedy  if  given  in  high  po- 
tencies. Low  potencies  often  aggravate  conditions.  In 
all  these  cases  the  sensation  of  internal  trembling  should 
be  taken  into  consideration. 

Causticum.     3<Dth   or   Higher. 

A  remedy  mostly  indicated  in  chronic,  but  of  great 
value  in  acute  diseases.  Its  main  indications  are  drawing 
or  tearing  pain,  soreness  or  rawness  anywhere.  Burn- 
ing with  rawness  or  soreness,  condition  aggravated  in 
dry  and  ameliorated  in  wet  weather.  There  is  often 
marked  weakness  which  may  gradually  increase  to 
paresis  and  even  paralysis.  This  may  be  of  the  tongue, 


INDICATIONS  R)K  DRUGS  IN  THEIR  PRIMARY  FORM          245 

throat,  vocal  cords,  face,  upper  or  lower  extremities  or 
in  general.  It  is  especially  affective  in  those  conditions 
arising  on  the  right  side  of  the  body.  Sore  throat  with 
hoarseness  or  sudden  loss  of  voice,  with  the  character- 
istic soreness  and  rawness,  at  times  accompanied  by 
tickling  or  burning.  Cough  hacking  and  dry,  ameliorated 
by  a  swallow  of  water.  Mucus  hard  to  raise  but  easily 
swallowed;  however,  after  a  long  effort  a  little  phlegm 
is  raised.  These  conditions  are  generally  worse  in  the 
morning.  Pain  in  throat  which  is  aggravated  by  swal- 
lowing, especially  of  solids.  Stiffness  in  throat  and  neck. 
In  influenza  with  the  characteristic  sore  and  bruised  feel- 
ing, pain  in  chest,  especially  when  coughing,  it  is  a  val- 
uable remedy.  Drooping  eyelids,  a  feeling  as  if  a  fog 
were  before  the  eyes,  this  latter  condition  is  often  pres- 
ent in  the  early  stage  of  cataract,  in  which  case  causticum 
is  a  useful  remedy.  In  deafness  with  humming  or  roar- 
ing and  all  kinds  of  noise  in  the  ears;  ears  often  red  and 
burning.  Tongue  coated  wrhite  on  the  sides  with  red 
streak  in  center.  Stiffness  of  jaws;  sickly,  yellowish 
tinge  of  face,  especially  the  temples,  no  jaundice  color 
however.  Mental  moods  are  generally  tendency  to  look 
at  the  dark  side  of  life,  sad  and  melancholy  feelings, 
which  conditions  are  often  the  result  of  grief  or  worry; 
however,  patient  may  be  irritable  or  hysterical.  There 
may  be  general  twitching.  If  indicated  causticum  is  use- 
ful in  chorea,  convulsions,  epilepsy  and  even  in  the  early 
stages  of  locomotor  ataxia.  Hemorrhoids  that  smart, 
burn,  itch  and  feel  raw  and  sore  when  walking  or  on 
thinking  about  them.  Constipation  with  frequent  desire 
but  no  result,  patient  strains  so  hard  as  to  get  red  in 
face,  accompanied  by  more  or  less  pain.  Faeces  pass  more 
easily  when  standing.  In  urinary  troubles,  where  a  few 
drops  are  voided  at  a  time  but  there  is  continual  desire. 
There  is  feeling  of  rawness  or  soreness  and  may  be  itch- 
ing of  the  orifice  of  the  urethra.  In  some  cases  this  con- 
dition is  accompanied  by  spasms  of  the  rectum.  Urine 
passes  involuntarily  when  sneezing,  coughing,  walking 
or  on  any  unusual  effort.  In  fact  sensation  may  be  so 
dulled  patient  does  not  notice  passing  of  urine.  There 
may  be  sediment  in  the  urine  of  dark  or  light  color. 


246  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Drawing  or  tearing  pain  in  any  part  of  the  body;  but 
especially  in  the  extremities,  aggravated  by  cold  air  and 
easier  in  bed.  Marked  stiffness  of  back,  especially  when 
getting  up  from  a  sitting  posture.  Rheumatism  or 
arthritis,  with  sensation  or  actual  contraction  of  flexors. 
In  chronic  skin  troubles,  eczema  or  conditions  resulting 
from  suppressed  itch,  it  is  useful.  In  long  standing  sores 
from  burns  and  warts  causticum  is  useful. 

Chamomilla  Matricaria.  2  to  3d. 
Pain  with  numbness  aggravated  by  heat,  but  not  re- 
lieved by  cold.  Sensitiveness  to  cold  conditions  the  re- 
sult of  a  cold.  Very  sensitive  to  pain,  although  the  pain 
may  not  be  so  severe  patient  thinks  he  is  unable  to  bear 
it.  Feels  desperate  and  thinks  that  it  would  be  better  to 
die  than  suffer  so,  in  fact  a  condition  of  exalted  sensitive- 
ness. Restlessness  and  sleeplessness  the  result  of  pain 
and  nervousness.  In  chamomilla  patients  we  have  the 
ugly  mood,  patient  is  generally  very  cross  and  spiteful. 
Children  will  cry  a  great  deal,  are  cross  and  ugly,  want 
things  only  to  reject  them  if  handed  to  them ;  they  are 
peevish  and  nothing  suits.  It  is  our  leading  remedy  in 
conditions  the  result  of  anger.  Spasms  in  children  the 
result  of  anger.  In  worms  or  other  conditions  where  one 
cheek  is  cold  and  pale  and  the  other  hot  and  red.  Stool 
green,  may  be  watery,  especially  in  infants  during  den- 
tition and  in  small  children.  In  some  cases  stool  smells 
like  rotten  eggs.  In  fevers  or  other  conditions  where 
there  is  thirst,  skin  hot,  yet  moist.  Flatulent  colic  with 
marked  distention,  but  passing  of  flatus  gives  no  relief. 
Toothache,  taking  anything  warm  in  mouth  aggravates. 
Cough  dry,  worse  in  cold  weather  and  in  the  night;  but 
the  cough  does  not  awaken  the  sleeper.  Cough  with 
tickling  in  throat.  Earache  with  pressing  pain.  In  par- 
turition where  os  is  rigid,  or  in  afterpains  where  patient 
cannot  bear  the  pain.  Menstrual  colic  result  of  anger. 
Metrorrhagia  where  blood  is  coagulated  and  dark  and 
comes  in  paroxysms. 

Chelidonium  Majus.     3  to  6d. 

Hepatic  troubles  both  acute  and  chronic  where  there 
is  oppressive  pain  in  right  hypochondrium,  with  yellow 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM          247 

skin  and  conjunctiva,  bitter  taste,  yellow  coated  tongue 
with  red,  indented  edges.  There  may  be  marked  cold- 
ness of  right  foot  and  drawing  pain  in  right  thigh  and 
leg.  Either  sharp  or  dull  pain  under  right  shoulder  blade. 
Can  only  retain  hot  drinks.  Vomiting  of  bilious  nature. 
In  persistent  coughs  with  pain  through  right  chest  to 
right  shoulder  blade,  this  remedy  has  proven  to  be  of 
value. 

China  Officinalis.     6d  to   i2d. 

A  remedy  mostly  indicated  in  conditions  the  result 
of  debilitating  losses  of  fluids,  such  as  loss  of  blood, 
seminal  emissions  and  excessive  flow  of  saliva.  In  the 
females  debility  as  a  result  of  excessive  leucorrhcea.  In 
nursing  women  who  run  down  as  a  result  of  nursing. 
Patient  shows  effects  of  debilitating  losses  by  weakness, 
prostration  and  often  there  is  a  sallow,  sunken  appear- 
ance of  the  face.  China  is  an  antiperiodic  in  conditions 
that  appear  every  other  day  or  are  aggravated  every 
other  day.  In  digestive  wrongs  we  find  great  distention 
and  bloating  of  the  whole  abdomen,  patient  still  feels 
hungry  at  meals.  Everything  appears  to  turn  into  gas, 
not  relieved  by  passing  flatus.  Diarrhoea  if  present  varies 
in  nature  but  is  painless  and  consists  partly  of  undigested 
food.  In  passive  hemorrhages  from  any  orifice  of  the 
body  this  is  a  useful  remedy.  Pressure  ameliorates  pain 
or  soreness.  Breeze  of  air,  touching  the  head  annoys 
and  pains  patient.  Very  sensitive  to  light.  In  liver 
troubles,  generally  hypertrophy,  with  soreness  and 
marked  sensitiveness  to  touch  in  the  region  of  the  liver. 
Skin  and  white  of  eyes  yellow,  stool  light  colored,  urine 
generally  scanty  and  of  dark  color.  Senses  very  acute. 
Patient  so  sensitive  to  the  touch  that  the  least  breeze, 
cutting  hair  or  shaving  seems  to  hurt  him.  Although 
light  touch  aggravates  pain  or  soreness,  deep  pressure 
ameliorates. 

Cimicifuga  Racemosa.    3  to  i2d 

Nervous  chills  without  coldness,  uterine  pains  dart- 
ing from  one  side  to  the  other, -menses  irregular.  Sharp 
or  cutting  pains  anywhere,  result  of  uterine  trouble. 
Menses  may  be  scanty  but  are  generally  profuse  with  se- 


248  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

vere  pain  in  back  through  hips,  down  the  thighs,  pressing 
pain.  Left  sided  infra-mammary  pains  at  climateric. 
Rheumatism  of  the  muscles  but  especially  of  muscles  of 
the  abdomen,  pressing  or  expanding  headache,  pains  may 
shoot  in  eyes  or  in  occiput,  running  down  the  neck.  Tn 
hysterical  subjects  we  may  have  neuralgic  pains,  twitch- 
ing, spasms,  change  of  mood ;  they  sigh,  and  are  gloomy, 
even  thinking  that  they  will  become  insane. 

Cina.     sod  or  Higher. 

Patient  restless  in  the  night,  jumps,  jerks  or  rolls 
around  in  bed,  grinds  teeth  and  often  screams  in  sleep. 
Often  swallows  in  sleep  as  if  something  came  up  in 
throat.  Child  cries  a  great  deal  and  is  cross,  wants  to  be 
carried  and  then  again  not,  wants  things  only  to  refuse 
them  when  handed.  Picks  nose  a  great  deal.  Face  pale 
with  dark  circles  under  eyes ;  face  may  be  glowing  red, 
but  with  this,  child  is  generally  pale  around  mouth.  Al- 
ternate loss  of  appetite  and  canine  hunger.  Cina  is  use- 
ful in  spasmodic  conditions  such  as  jerking,  twitching, 
convulsions  and  whooping  cough,  when  worm  symp- 
toms are  present;  whether  patient  has  worms  or  not. 

Cocculus  Indicus.     306  or  Higher. 

General  Drostration,  in  the  spine  and  extremities,  ex- 
cessive weakness  even  bordering  on  paresis  or  paralysis, 
especially  in  the  small  of  the  back.  There  is  a  general 
weakness  in  the  lower  extremities,  bruised  feeling  in  hip 
or  thighs.  Hands  and  feet  eo  to  sleep,  and  there  is  in 
some  cases  a  sensation  of  fullness  or  swelling  in  the  fin- 
gers, hands  or  feet.  In  the  upper  part  of  the  spine  we  find 
a  weakness  which  makes  patient  feel  as  if  he  could  not 
hold  head  up.  Vertigo,  especially  when  rising  from  the 
recumbent  position,  confusion  of  mind,  sick  headache, 
preceded  by  nausea,  stupefaction,  tendency  to  vomit, 
especially  after  meals.  Symptoms  aggravated  by  riding 
or  on  the  sea.  Marked  aversion  to  food.  The  odor  of 
cooking  food  in  some  cases  aggravates  nausea.  There- 
fore a  great  remedy  in  sea  sickness.  Great  distention  of 
abdomen,  often  with  sensation  as  if  sticks  were  in  the 
stomach,  generally  worse  nights.  Gas  forms,  passes  off 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM          249 

but  forms  again  continually,  thus  there  is  no  relief  from 
flatus.  Bad  effects  of  loss  of  sleep,  overwork  or  riding. 
A  sensation  of  emptiness  anywhere,  but  especially  in  the 
head  or  abdomen.  Mood  is  sad  with  inclination  to  be 
alone.  Marked  depression.  In  prostration  and  exces- 
sive weakness  in  small  of  back  and  extremities,  especi- 
ally in  the  lower;  weakness  in  the  cervical  region;  empty 
feeling,  depression,  affections  caused  or  aggravated  by 
riding  cocculus  ind.  should  never  be  forgotten. 

Colchicum  Antumnale.     6  to   i2d. 

The  smell  of  food  when  cooked  causes  nausea  and 
faintness.  Symptoms  aggravated  from  the  time  the  sun 
goes  down  to  the  time  it  rises.  There  may  be  in  the 
abdomen  marked  burning  or  a  sensation  of  coldness. 
Dyspepsia  with  above  symptoms  with  much  distention 
and  gas  in  the  gastro-intestinal  tract.  Diarrhoea  uncon- 
trollable, stool  often  mixed  with  mucus  or  of  slimy  na- 
ture. Dysentery  with  much  tenesmus,  discharges  of 
mucus  which  is  mixed  with  blood. 

Colocynthis.     2d. 

This  is  our  best  remedy  in  cramps,  especially  of  a 
violent  nature,  ameliorated  by  doubling  up  and  by  pres- 
sure. In  neuralgic  pains  of  a  crampy  nature  in  the  ab- 
dominal region,  although  it  is  of  value  in  neuralgia  of  the 
face  or  other  parts  of  the  body.  Pain  in  hips  running 
down  the  posterior  part  of  thigh  into  the  popliteal  fossa, 
if  of  neuralgic  nature.  Colocynthis  is  oftener  indicated 
in  acute  conditions;  but  is  equally  useful  in  chronic  con- 
ditions. 

Crocus  Sativus.     3d  or  Higher. 

A  prominent  indication  for  this  remedy,  especially  in 
1i vsterical  subjects,  is  a  sensation  as  if  there  was  some- 
thing moving  or  hopping  around  in  the  chest,  abdomen 
or  uterus.  Twitching  of  any  muscles  of  the  body,  es- 
pecially of  the  eyelids.  Depression  alternating  with 
cheerfulness.  Hemorrhages  from  any  orifices  of  the 
body  where  the  blood  is  black,  clotted,  hanging  in  long 
strings. 


25O  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Digitalis  Purpurea.     26.. 

This  is  a  useful  remedy  where  the  pulse  is  very  slow 
or  intermittent  and  weak.  Irregular  pulse,  sometimes 
very  slow  and  again  fast  or  intermittent.  In  other  words 
slow  and  irregular  pulse  are  its  main  indications.  Lips 
and  nails  are  generally  bluish  and  in  addition  to  these  we 
find  in  other  cases  that  the  tongue  and  eyelids  are  also 
bluish  ;  while  in  others  the  cheeks,  hands  and  feet,  and, 
in  fact,  the  whole  skin,  have  a  bluish  tinge.  There  is  in 
severe  cases  marked  weakness  with  weak  or  faint  feeling 
in  stomach,  patient  draws  deep  sighs,  feels  as  if  dying, 
especially  if  moved  or  moving.  There  may  be  sudden 
failure  of  strength  and  cyanosis.  When  going  to  sleep 
it  appears  as  if  patient  stops  breathing  and  will  wake  up 
gasping  for  breath.  Urine  brownish,  the  color  of  dark 
beer,  especially  in  liver  trouble,  jaundice,  etc.,  when  stool 
is  very  light,  patient  yellow  all  over  the  body  even  eyes 
and  finger  nails.  Dropsy,  the  result  of  disease  of  the 
heart  with  the  slow  or  intermittent  pulse  and  bluish  tinge 
of  the  skin  as  stated. 

Ferrum  Acetate  or  Met.     3  to  i2x. 

Great  weakness  and  at  times  restlessness;  but  patient 
feels  better  walking  around  slowly.  Mucous  membrane 
pale.  In  weak  or  amemic  subjects  we  find  the  pale,  ashy 
or  even  greenish  appearance  of  face,  changing  to  red 
from  heat  or  least  excitement,  with  throbbing  from  the 
least  exertion  or  excitement.  At  times  canine  hunger  and 
at  others  entire  loss  of  appetite ;  vomiting  of  food  when 
coughing.  Eructations  or  regurgitations  after  eating. 
Food  vomited  up  after  6  or  8  hours  or  longer.  Bread 
and  butter  agree ;  but  meat,  beer  and  tea  disagree. 
Dowels  feel  sore  and  bruised ;  diarrhoea  painless.  Stools 
of  undigested  food.  Local  congestions  with  hemorrhages 
in  the  anaemic  and  debilitated.  In  intermittent  fevers, 
with  red  face  at  the  time  of  chill,  it  is  often  useful. 

Ferrum  Phosphoricum.     3x. 

In  the  first  stages  of  acute  diseases  to  control  the  cir- 
culation. In  cases  of  cold  where  there  is  hurried  and 
oppressive  respiration  and  dry  cough  this  remedy  alone 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM  251 

will  often  prevent  an  attack  of  bronchitis  or  pneumonia. 
In  respiratory  affections  of  children  given  in  very  small 
closes,  it  is  often  the  only  remedy  required.  Given  in  the 
first  stage  of  a  cold  it  acts  admirably.  We  also  think  of 
it  in  enuresis,  inflammation  of  the  eyes  with  secretion  of 
pus  or  mucus,  hemorrhages,  epistaxis,  headache  with  rush 
of  blood  to  the  head.  In  bruises,  falls  and  blows,  it  will 
modify  the  swelling,  pain  and  engorgement.  Neuralgia 
with  determination  of  blood  to  the  heacj.  In  some  forms 
of  morning  sickness  it  has  proved  to  be  of  value.  In 
rheumatism  worse  on  motion  it  may  be  tried. 

Gelsemium  Nitidum.     3od. 

A  remedy  of  much  value  in  general  nervous  prostra- 
tion where  there  is  general  relaxation  of  the  muscular 
system,  even  to  paralysis.  Gelsemium  is  one  of  most 
important  trembling  remedies;  arms,  hands,  legs,  in  fact 
the  whole  body  trembles,  and  in  some  cases  this  is  so 
severe  as  to  shake  the  patient  all  over.  Tongue  trembles 
when  protruding.  Eyelids  droop  until  they  are  almost 
closed.  Cases  go  on  to  paralysis,  the  patient  gets  weaker 
and  weaker,  pulse  gets  slower  and  weaker,  but  the  least 
motion  accelerates.  The  will  has  no  control  over  the 
muscles,  as  the  nerves  convey  impressions  improperly 
or  not  at  all.  Patient  knows  what  he  wishes  to  do,  but 
is  unable  to  do  it.  Fingers  will  not  co-ordinate.  Mental 
condition  is  of  a  sluggish  nature,  patient  is  depressed  in 
spirit  ancl  prefers  to  be  alone.  Does  not  care  to  be 
talked  to  and  even  the  presence  of  anyone  annoys  him. 
Dreads  to  move  about,  is  drowsy,  sleepy  and  cannot 
think  clearly  or  fix  his  mind  on  any  subject.  Diarrhoea 
as  a  result  of  emotion,  bad  newrs,  fright  or  fear.  Neural- 
gic pains  may  be  dull,  but  may  be  so  darting,  sharp  and 
sudden  as  to  cause  patient  to  start.  Headache  is  gener- 
ally dull  with  a  sense  of  weakness  in  the  region  of  the 
occiput  or  nervous  headache  starting  from  the  occiput 
and  spreading  over  the  head.  Lying  still  with  head 
high  ameliorates.  In  some  cases  an  abundant  flow  of 
urine  ameliorates  headache.  Stimulants  may  temporar- 
ily ameliorate,  so  will  pressure  over  the  parts.  Mental 
exertion,  head  low  in  recumbent  position,  sun  or  smoke 


252  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

of  tobacco  aggravates  headache.  Sick  headache,  which 
is  preceded  by  blindness,  the  latter  disappearing  when 
the  former  begins.  In  mild  forms  of  continued  fever,  es- 
pecially in  children,  it  is  a  useful  remedy,  patient  is  too 
weak  to  move  and  feels  drowsy  and  sleepy.  There  is  a 
congestive  condition,  face  may  be  pale  or  dark  red,  pupils 
dilated.  Useful  to  abort  or  modify  typhoid  if  the  marked 
nervous  prostration  precedes  it.  Nervous  chills  running 
up  and  down  the  spine.  In  weak  and  slow  pulse  in  old 
people  this  is  a  valuable  remedy. 

Glonoine.     6  to  i2d. 

Face  glowing  red,  throbbing  headache,  throbbing  car- 
otids which  feel  as  if  they  would  burst,  bending  head 
backwards  or  the  least  jar  aggravates  condition.  Head 
may  feel  so  full  as  to  give  sensation  of  expansion. 
Warmth  increases,  but  quiet  appears  to  ameliorate  pain. 
Cannot  bear  anything  on  or  around  head.  In  sunstroke 
or  bad  effects  of  heat  it  is  one  of  our  best  \temporary  rem- 
edies. All  this  shows  that  it  is  a  useful  remedy  in  tem- 
porary congestion  of  the  head.  In  puerpural  convulsions, 
congestion  in  head  the  result  of  suppressed  menses  it  is 
of  value.  Glonoine  is  a  temporary  remedy  and  should 
not  be  used  any  length  of  time. 

Graphites.     3x  Upwards. 

Is  a  valuable  remedy  in  any  eruptions  exuding  a 
sticky,  glutinous  fluid  of  the  nature  of  honey.  It  acts 
more  strongly  on  the  face,  ears,  head,  eyelids  and  gen- 
itals ;  but  is  a  good  remedy  in  eruption  of  above  nature 
on  any  part  of  the  body.  In  eczema  of  the  eyelids  it  is 
one  of  our  best  remedies.  In  anal  fissures  and  eczema 
of  the  anus,  or  any  part  of  the  body  where  indicated. 
Suppressed  eruptions,  if  indicated.  Finger  nails  becom- 
ing shapeless  and  thick.  In  people  with  herpetic  dys- 
crasia  subject  to  wens.  Fissures  of  the  nipples,  labia, 
anus,  between  toes  or  tips  of  fingers.  In  constipation 
stool  large  and  knotty,  the  lumps  often  are  connected 
with  mucus,  and  which  may  be  followed  by  mucus. 
'Hi ere  is  generally  considerable  pain  after  bowels  have 
moved.  After  stool  anus  very  sensitive  to  touch.  The 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM  253 

stool  often  has  very  offensive  odor,  especially  if  bowels 
are  loose.  In  females  menses  are  delayed  and  generally 
scanty.  In  old,  hard  cicatrices  the  result  of  abscesses. 
Lumps  in  the  breasts.  The  temperament  in  which  graph- 
ites is  more  often  indicated  is  where  there  is  a  tendency 
to  obesity. 

Hamamelis  Virginica.     3d  or  Higher. 

Its  action  is  mostly  on  the  veins  when  they  are  sore, 
large  and  full,  walls  weak,  relaxed  and  even  tortuous  in 
some  cases.  We  at  times  find  it  indicated  in  varicose 
veins,  orchitis,  rheumatism  and  venous  hemorrhages,  in 
which  the  blood  is  dark  and  clotted. 

Helonias  Dioica.     3d. 

A  remedy  that  is  useful  in  many  wrongs  of  the  repro- 
ductive organs  of  the  female,  especially  the  anaemic.  In 
antiversion,  retroversion  or  prolapsus  of  the  uterus. 
Menses  may  be  profuse  or  scanty.  Patient  feels  tired, 
weak  and  lame  in  the  lumbar  and  sacral  region,  this  is 
often  associated  with  heat,  burning  or  pain.  Uterus  very 
sensitive.  A  symptom  very  characteristic  of  this  remedy 
is  that  of  being  conscious  of  the  uterus,  most,  if  not  all,  of 
the  time.  A  weak  feeling  as  if  unable  to  hold  up  abdo- 
men, there  is  an  inclination  to  hold  up  abdomen,  either 
with  hands  or  by  bandage. 

Hepar  Sulph.     3  to  i2x. 

One  of  the  leading  indications  for  this  remedy  is 
oversensitiveness  to  cold  air,  touch  or  pain.  In  mind 
we  find  the  same  sensitiveness,  irritation  from"  the  slight- 
est cause.  This  excessive  sensitiveness  we  find  in  boils, 
ulcers,  eruptions,  in  fact  any  condition  where  hepar  sulph. 
is  indicated.  General  tendency  to  suppuration,  even  the 
slightest  abrasion  will  suppurate.  In  local  inflammation 
with  tendency  to  terminate  in  suppuration ;  it  may  in 
the  early  stage  abort  the  same,  later  it  will  hasten  ma- 
turity and  favor  absorbtion.  In  croup,  condition  is  aggra- 
vated by  the  least  draft  or  current  of  cold  air.  There  is 
loose  cough  with  wheezing  and  rattling  and  child  is 
threatened  with  suffocation,  worse  in  the  morning. 
Taking  cold  whenever  going  out  into  the  cold.  Chronic 


254  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

dry  catarrh  of  the  nose.  Asthma  that  is  ameliorated  in 
damp  weather.  Chronic  enlargement  of  the  tonsils  that 
affects  hearing.  To  abort  suppuration  in  tonsillitis  and 
correct  the  chronic  tendency  to  it.  Weakness  in  the 
bladder,  patient  has  to  wait  sometime  before  stream 
starts,  flow  slow  without  force.'  Stool  sour  and  in  small 
children  whole  body  smells  sour  as  well.  Stool  clay 
colored  and  hard  to  pass  even  if  soft,  showing  a  weakness 
in  expulsive  force.  Diarrhoea  is  sour  and  if  in  small 
children  the  whole  body  smells  sour.  Hepar  sulph.  pa- 
tient often  craves  sour  or  acid  food  or  drinks. 

Hydrastis  Canadensis.     2d  or  Higher. 

In  chronic  or  infantile  constipation.  In  stringy  dis- 
charge from  any  orifice  of  the  body,  of  a  chronic  nature. 
There  is  a  dull  ache  and  faint  gone  feeling  in  epigastrium. 
Stomach  is  not  bloated  but,  on  the  contrary,  often  is 
sunken  in. 

Hyoscyamus.     sd  or  Higher. 

Delirium  of  low  form  which  may  become  violent  but 
only  seldom,  there  is  gradually  increasing  weakness  with 
pale  and  sunken  appearance  of  face,  patient  sometimes 
even  becoming  unconscious.  Patient  picking  at  bed- 
clothes, answering  questions  only  to  relapse  immediately 
into  a  stupor  again,  lower  jaw  drops  down,  eyes  may 
be  closed  or  wide  open,  staring  without  comprehending 
what  is  going  on.  Stool  and  urine  pass  involuntarily. 
Above  indications  are  often  met  with  in  severe  acute  dis- 
eases, such  as  typhoid,  pneumonia,  scarlet  fever,  and 
in  such  cases  it  is  a  valuable  remedy.  In  convulsions 
there  is  general  twitching  and  they  are  clonic  in  nature 
and  not  violent. 

For  mind  symptoms  see  proper  heading. 

Ignatia  Amara.     3  to  i2d. 

Twitching,  this  may  be  of  parts  or  all  over  the  body. 
Tobacco  smoke  cannot  be  tolerated  and  will  aggravate 
complaints  of  the  patient,  in  other  words,  there  is  marked 
aversion  to  the  smoke  of  tobacco.  An  empty  or  gone 
feeling  in  the  pit  of  the  stomach,  with  tendency  to  draw 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM  255 

a  long  breath  or  sigh.  Hysterical  or  nervous  headache. 
Headache  as  if  a  nail  or  stick  was  run  through  side  of 
head,  increased  by  coffee  or  smoke,  alcohol,  cold  wind 
or  sudden  motion,  moving  of  eyes,  light  or  noise. 
Warmth,  mild  pressure  or  lying  on  it  ameliorates  head- 
ache, so  does  a  profuse  flow  of  urine.  Although  eating 
may  momentarily  relieve  headache  it  only  aggravates 
it  soon  afterward.  Globus  hystericus  is  an  indication  for 
ignatia.  Patient  complains  of  a  lump  coming  up  in  the 
throat  as  if  choking.  In  throat  affections  swallowing 
ameliorates,  however,  there  may  be  aggravation  from 
liquids,  but  relief  .from  swallowing  solid  food.  Frequent 
desire  to  go  to  stool,  but  rectum  prolapsus  in  the  effort. 
A  sharp  pain  in  rectum  shooting  upwards.  There  is  in 
ignatia  patients  a  condition  of  depression  and  silent  grief. 
Are  sad,  despondent,  sigh,  cry,  and  wish  to  be  alone  with 
their  troubles  or  imaginary  troubles,  at  other  times  pa- 
tient may  be  happy,  merry  and  full  of  fun,  showing  that 
it  is  the  remedy  in  changeable  moods.  They  are  easily 
frightened,  therefore,  it  is  useful  in  affects  of  fright. 
Twitching  all  over  is  a  prominent  indication  for  ignatia 
am. 

Convulsions,  the  result  of  emotion,  fright  or  fear. 

In  chorea  the  result  of  emotion,  fright  or  fear. 

In  chills  there  is  thirst  only  during  chill,  face  is  red 
at  the  time,  hot  applications  give  relief. 

lodium.     306. 

Swelling  of  the  thyroid  or  mesenteric  glands.  How- 
ever, useful  in  glandular  swelling  in  general  when  indi- 
cated. A  good  remedy  in  goitre  if  given  in  high  dilutions 
and  not  too  often.  Soreness  and  wasting  of  mammae. 
Marked  debility  and  emaciation.  Patient  hungry  all  the 
time  and  only  gets  relief  from  hunger  as  well  as  other 
sufferings  when  eating,  still  emaciates  all  the  time.  Feels 
good  only  when  eating.  Useful  in  cancer  of  the  uterus 
with  hemonhages;  also  in  corrosive  leucorrhcea.  Warmth 
aggravates  condition.  In  membranous  croup  with  dry, 
barking  cough,  where  child  grasps  throat  when  coughing. 


256  MATKKIA    MKDICA  AND 'CLINICAL  T  1 1  KKAI'Kl  JTICS 

Seems  to  act  better  in  children  that  have  dark  complex- 
ions. 

Ipecacuanha.     i2d  or  Higher. 

Persistent  nausea  not  relieved  by  vomiting,  .tongue 
clean,  or  only  slightly  coated.  We  find  often  with  nausea 
of  ipecac  that  the  face  looks  pale  and  sunken,  there  may 
be  twitching  of  lips  or  face  and  sleepiness  after  vomiting. 
Accumulation  of  saliva  in  mouth.  Stools  in  diarrhoea  or 
dysentery  slimy,  mixed  with  blood.  Stools  in  children 
green  as  grass  and  often  foamy.  Hemorrhages  from  any 
or  all  orifices  of  the  body  where  blood  is  of  a  bright  red 
color,  in  other  words  in  active  hemorrhages.  There  is 
generally  restlessness  and  anxiety.  Headache  may  be  of 
gastric  or  rheumatic  origin,  in  former  the  nausea  will 
precede  headache  and  continue  with  the  headache;  in  the 
latter  there  is  a  bruised  feeling  in  head,  bone  pain.  In 
all  cases  remember  the  persistent  nausea  not  relieved  by 
vomiting.  In  cough  with  nausea,  threatened  suffocation, 
dyspnoea  and  wheezing  as  a  result  of  excessive  accumu- 
lation of  mucus  or  pressure  in  the  air  passages.  This 
may  cause  coughing  with  a  sensation  as  if  there  was  a  for- 
eign body  in  chest  or  throat.  This  remedy  is  of  value  in 
spasmodic  asthma,  whooping  cough  and  coughs  in  the 
earlier  stages  before  there  is  any  accumulation  of  mucus. 
In  children  with  spasmodic  or  suffocating  cough,  which 
is  so  severe  as  to  cause  the  face  to  turn  blue,  and  the 
whole  body  to  become  rigid  at  times.  Useful  in  infantile 
pneumonia  and  asthma  if  indicated.  Our  main  indica- 
tions for  this  remedy  are,  persistent  nausea  not  relieved 
by  vomiting.  Threatened  suffocation  from  excessive  ac- 
cumulation of  mucus  in  the  air  passages.  Spasm,  and 
cough  with  spasms  where  indicated.  Hemorrhages  in 
which  the  blood  is  bright  red,  in  other  words,  active  hem- 
orrhages. In  bowel  troubles  with  the  characteristic  stool. 

Iris  Versicolor.     2d. 

In  sick  headache,  the  result  of  gastric  or  hepatic 
wrongs.  Often  the  eyes  are  blurred  just  before  or  at  the 
beginning  of  the  attack  in  these  forms  of  headache. 
Burning  in  the  tongue  or  throat,  and  in  fact  in  the  whole 


INDICATIONS  FOR  DRUG.S   IX  T.HKIK  PRIMARY  FORM 

alimentary  canal.  Profuse  flow  of  mucus,  which  in  some 
cases  is  of  a  stringy  nature,  hanging  in  long  strings  from 
the  mouth  and  is  very  sour,  in  some  cases  turning  almost 
black  a  short  time  after  being  vomited.  In  diarrhoea  with 
burning  anus.  If  we  have  vomiting  of  long  ropy  mucus 
lianging  in  long  strings  from  the  mouth,  vomit  very  sour, 
so  much  so  as  to  excoriate  even  the  mouth  and  throat, 
this  remedy  should  be  remembered. 

Kali  Bichromicum.     6  to   i2x. 

In  affections  of  the  mucous  membranes  in  which  the 
discharge  from  any  orifice  of  the  body  is  sticky,  stringy 
and  tough  or  jelly-like.  In  post-nasal  catarrh  where 
plugs  form  and  reform  in  nose  and  where  there  is  drop- 
ping down  in  throat  of  mucus  of  a  tough,  stringy  nature. 
In  membranous  croup  where  the  membrane  forms  in 
throat  and  extends  downward.  Ulcers  in  mucous  sur- 
faces, but  especially  in  the  nose  and  throat,  which  are 
deep,  edges  regular  as  if  cut  with  a  punch.  Ulcers  of 
above  nature  in  mouth,  throat  or  nose  are  quickly  cured 
by  this  remedy.  In  stomach  troubles  we  find  that  im- 
mediately after  eating  there  is  distress,  fullness  and 
heaviness.  If  there  is  vomiting  it  is  of  stringy,  tough, 
sticky  or  jelly-like  nature.  In  ulcers  in  the  stomach  if 
indicated.  Tongue  coated  yellow,  especially  at  the  base ; 
or  we  may  have  a  red,-  cracked  tongue,  with  a  glazed 
appearance.  Sick  headache,  especially  if  in  small  spots, 
blindness  preceding  the  headache  which  latter  gradually 
subsides  as  the  former  increases.  Pains  severe  and  in 
spots,  generally  appearing  and  disappearing  suddenly. 
Pains  may  shift  from  one  place  to  another.  A  useful  rem- 
edy where  indicated  in  acute  or  chronic  conditions.  In 
respiratory  troubles  such  as  bronchitis,  coughs  and 
croup.  Recommended  in  syphilis  and  scrofula.  In  leu- 
corrhoea  with  the  stringy  or  jelly-like  discharge  it  is  of 
value.  Never  forget  the  leading  indications  of  the  pecu- 
liar discharge  from  mucous  surfaces,  ulcers  on  mucous 
surfaces,  deep  with  regular  edges  as  if  punched  and  the 
nature  of  the  pain. 


258  MATERTA  MED1CA  AND  CLINICAL  THERAPEUTICS 

Kali  Carbonicum.     6x  or  Higher. 

Sharp,  stitching  pains  come  on  suddenly  and  so  sharp 
as  to  make  patient  cry  out,  when  they  may  disappear 
as  suddenly  as  they  came.  Pressure  or  lying  on  affected 
part  or  side  aggravates  condition.  Pains  come  on  inde- 
pendently of  movement  or  motion  of  body  or  parts.  Bag 
like  swelling  of  upper  eyelids.  If  there  is  aggravation 
of  symptoms  or  condition  at  about  3  A.  M.,  less  at  3 
P.  M.,  we  think  of  kali  carb.  Great  debility  and  great 
sensitiveness  in  epigastrium  externally,  in  gastric  troub- 
les, bloated  feeling  as  if  bursting.  Excessive  flatulency, 
everything  eaten  seems  to  hurt  and  turn  into  gas.  Full- 
ness, heat,  great  distention  after  eating.  Sweats,  back- 
ache, especially  in  lower  region,  weakness  and  debility. 
Back  and  legs  feel  so  tired  and  weak  that  patient  thinks 
they  will  give  out  every  minute,  gets  exhausted  easily 
and  want  to  sit  or  lie  down.  Indicated  in  patients  that 
are  weak  and  anaemic,  skin  very  pale,  this  especially  at 
puberty  in  girls  who  do  not  menstruate,  are  weak  and 
debilitated  and  bloat,  especially  in  face  and  upper  eye- 
lids. At  the  climateric  we  find  similar  conditions  where 
kali  carb.  is  a  good  remedy.  In  pleurisy  or  pneumonia 
it  is  a  valuable  remedy.  Although  it  acts  more  strongly 
on  lower  right  chest  it  is  a  valuable  remedy  in  chest 
troubles  in  general,  no  matter  where,  if  indicated.  In 
tuberculosis  it. is  of  value  where  we  have  the  3  A.  M. 
aggravation  of  cough.  Patient  is  sensitive  to  touch,  es- 
pecially feet.  Gets  frightened  very  easily.  Sitting  up 
bent  forward  seems  to  ameliorate  in  affections  of  the 
chest.  Pain  in  throat  as  if  there  was  a  foreign  body  in  it. 
A  valuable  remedy  in  the  anaemic  with  great  debility  as 
well  as  in  old  people  who  are  Aveak  and  broken  down  in 
health.  General  muscular  weakness.  Puerperal  muscu- 
lar weakness.  Puerperal  fever  with  the  stitching  pain, 
or  alba  dolens.  In  kali  carb.  remember  the  sharp,  stitch- 
ing pain  coming  on  independent  of  movement,  the  3  A.  M. 
aggravation,  bag  like  swelling  of  upper  eyelids  and 
anaemic  and  debilitated  condition.  In  hip  joint  inflam- 
mation with  severe  pressive  pain  in  hip  joint  and  in  some 
cases  severe  pain  in  knee  and  leg.  In  severe  cases  or 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM  259 

those  of  long  standing-  where  actual  lengthening  of  the 
limb  has  taken  place  kali  carbonicum  is  a  useful  remedy. 

Kali  lodatum.     3x  or  Higher. 

In  respiratory  troubles  with  thick,  yellow  or  yellow- 
ish green  expectoration  of  a  salty  taste.  Cough  remain- 
ing after  pneumonia,  pleurisy  or  after  a  severe  cold. 
Great  weakness  and  exhausting  night  sweats.  There  may 
be  pain  in  the  middle  of  the  chest  running  to  the  spine, 
between  the  shoulders  and  the  expectoration,  which  is 
profuse,  appears  as  if  it  comes  from  way  down  in  the 
chest.  In  pneumonia  it  is  useful  in  the  early  stages  of 
hepatization  or  later,  and  where  there  is  danger  of  or 
actual  congestion  of  the  brain,  as  a  result  of  the  severity 
of  this  stage.  In  these  latter  cases  patient  is  drowsy,  face 
very  red  and  pupils  may  be  dilated.  Kali  iodatum  favors 
absorption  and  controls  the  congestion  in  these  cases. 

Kali  Muriaticum.     3x. 

( )ne  of  the  best  remedies  in  the  latter  stages  of  acute 
diseases  in  which  infiltration  and  exudation  or  swelling 
are  marked  features.  Especially  in  catarrhal  conditi6ns 
in  latter  stages  where  there  is  thick,  white  expectoration 
or  discharge.  The  most  prominent  tongue  indication  for 
this  remedy  is  a  grayish  white  coating.  Kali  mur.  3x 
is  our  best  remedy  in  the  latter  stages  of  pneumonia, 
where  it  may  be  alternated  to  advantage  with  muriate  of 
ammonia  or  other  indicated  stimulants.  In  pelvic  cel- 
lulitis  it  has  cured  where  other  means  failed.  We  also 
think  of  it  in  catarrh  of  the  middle  ear,  latter  stages  of 
catarrhal  conditions,  bronchitis,  croup,  colds,  hard, 
croupy  coughs,  stomach  coughs,  glandular  swelling,  acne, 
pimples,  nettle  rash,  eczema,  bad  effects  of  vaccination, 
catarrhal  inflammation  of  the  middle  ear  from  cold,  diar- 
rhoea from  fatty  foods,  dysentery  with  slimy  stool  and 
accompanied  by  tenesmus,  leucorrhcea  with  a  discharge 
that  is  milky  but  nonirritating,  excessive  menstruation, 
inflammation  of  mouth,  rheumatism  with  swelling.  A 
good  remedy  in  diphtheria,  bronchitis  or  ulcerated  sore 
throat,  especially  the  latter. 


260  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Kali  Phosphoricum.     2x. 

Indicated  in  all  debilitated  conditions  of  the  nervous 
system.  We  also  think  of  it  in  conditions  where  there 
are  offensive  discharges,  brain  fag,  change  of  life  where 
there  is  nervousness,  numbness,  flushes,  hectic  fever, 
diarrhoea  with  offensive  odor,  dysentery  with  putrid  and 
bloody  stool,  nervous  headache,  melancholy,  sleepless- 
ness, despondency,  paralyzing  pains  in  limbs,  hysteria, 
delayed  menstruation  accompanied  by  lassitude,  ner- 
vousness and  depression,  palpitation.  Tongue  indication 
for  kali  phos.  3x  is  a  brown  and  dry  tongue.  Toothache, 
gums  bleed  easily.  Neuralgia  worse  when  patient  is 
alone  or  quiet.  Headache  with  a  gone  feeling  in  the 
stomach.  Headache  from  overstudy. 

Kali  Sulphuricum.     2x. 

A  useful  remedy  in  catarrhal  conditions  of  any  mu- 
cous surface  in  the  body  where  there  is  slimy  secretion 
of  a -yellow  or  yellowish  green  color.  Therefore  is  in- 
dicated in  the  latter  stages  of  a  cold  if  discharge  is  of 
the  above  nature,  profuse  and  easily  raised.  Tongue 
indication  is  a  slimy,  thin  deposit  on  same.  Discharges 
of  a  greenish  nature.  Patient  generally  worse  in  heated 
rooms  and  toward  evening.  Feels  better  in  the  cold. 
Rheumatic  pains  shifting  from  one  joint  to  another. 

Kreosotum.     306  or  Higher. 

A  remedy  whose  action  is  mainly  upon  the  mucous 
surfaces  and  is  indicated  where  there  is  a  debilitated 
condition  of  these  parts,  secretion  acrid  and  corrosive, 
gums  swollen,  spongy,  painful  and  of  bluish,  red  color. 
Teeth  decay  even  in  small  children  without  anv  apparent 
cause.  In  cholera  infantum  often  the  result  of  painful 
dentition  with  above  symptoms,  cadaverous  smelling 
stool,  severe  vomiting,  it  is  a  valuable  remedy.  In  vom- 
iting of  pregnancy.  Some  forms  of  vomiting  the  result 
of  softening  of  the  stomach.  Tendency  to  hemorrhages 
of  intermittent  nature.  Ulcerations  of  cervix  uteri  with 
severe  burning  in  the  pelvic  region  and  flow  of  blood 
with  very  offensive  odor.  In  ulcerations.  of  the  female 
genital  organs  and  corrosive  leucorrhoea,  causing  itching 


INDICATIONS  FOR  DRUGS  INTI1KIK   PRIMARY   FORM  26l 

and  burning  with  a  tendency  to  scratch  which  only  in- 
flames or  irritates  parts  the  more ;  the  discharge  coloring 
white  clothes  yellow.  Excoriations  on  genitals  of  females 
result  of  acrid  corrosive  leucorrhoea.  The  acrid  corrosive 
discharge  applies  also  to  the  nose,  eyes  and  mouth  but 
to  a  much  lesser  degree.  In  cancer  of  the  breasts  of 
bluish,  red  color.  General  tendency  to  hemorrhage ;  small 
wounds  bleeding  easily,  hemorrhages  from  orifices,  of 
intermittent  passive  nature.  In  the  urinary  organs  we 
find  that  patient  voids  generally  large  quantities  of  water, 
cannot  hold  water,  can  urinate  best  lying  down.  In 
children  if  they  wet  the  bed  it  is  in  the  fore  part  of  the 
night  or  during  first  sleep,  which  is  so  sound  that  they  are 
not  awakened. 

Lac  Defloratum.     6d  or  Higher. 

Despondent,  does  not  care  to  live.  American  sick 
headache  begins  in  forehead  and  extends  to  occiput,  in- 
tense and  throbbing  with  nausea  and  vomiting,  especially 
on  rising  in  morning,  blindness ;  pressure  relieves.  Glo- 
bus  hystericus,  vomiting  first  of  food  then  of  sour  mat- 
ter, then  bitter.  Obesity;  fatty  degeneration.  Dropsy 
from  organic  heart  disease ;  from  chronic  liver  complaint ; 
in  advanced  albuminuria  following  intermittent  fever. 

Lachesis.     i2d  Upwards. 

Sleeps  into  aggravation,  symptoms  worse  on  awaken- 
ing. A  feeling  of  constriction,  but  especially  in  the 
throat,  cannot  bear  anything  tight  around  it;  lightest 
touch  or  pressure  aggravates  sense  of  constriction  or 
condition.  Empty  swallowing  and  swallowing  of  liquid 
aggravates  more  than  solids.  Pain  in  throat  worse  from 
hot  drinks.  Coryza  where  discharge  from  nose  is  sup- 
pressed after  sleeping-.  In  diphtheria  it  is  our  best  rem- 
edy, but  especially  if  throat  looks  bluish  red,  trouble 
started  on  left  side.  A  valuable  remedy  in  any  condition 
of  the  throat  when  indicated  no  matter  what  the  disease. 
Lachesis  is  considered  a  left  sided  remedy  and  will  be 
found  most  useful  in  conditions  of  the  left  side  or  those 
arising  on  the  left  side.  In  prostration  from  heat  or  sun 
headache,  especially  if  chronic;  headache  whenever  ex- 


262  MATKRIA    MKDICA   AND  CLINICAL  THERAPKl' TICS 

posed  to  the  heat  of  the  sun.  Pressure  or  burning-  on 
vertex.  Sleeps  into  aggravation  of  headache,  face  pale. 
In  dark  bluish  eruptions  or  swellings  no  matter  where 
and  in  what  condition  or  disease  lachesis  will  be  found 
a  valuable  remedy.  Uterine  troubles  where  cervix  has 
a  dark  blue  color.  Larynx,  abdomen  or  uterus  very  ten- 
der and  sensitive  to  touch,  clothes  even  have  to  be  loos- 
ened. In  left  sided  paresis,  paralysis,  throat  trouble,  lung 
or  ovarian  trouble.  Hacking  cough  in  sleep  without 
awakening.  In  bowel  troubles  where  there  is  a  sensation 
as  if  the  rectum  was  closed,  writh  a  marked  downward 
pressure  which  is  so  much  aggravated  by  straining  that 
patient  has  to  stop  on  account  of  pain  and  pressure. 
Trembling  with  weakness  and  faint  feeling  as  though  un- 
able to  stand  up.  Tongue  trembles  in  the  effort  to  pro- 
trude it  and  generally  catches  under  front  teeth  in  the 
attempt.  In  enervation  where  patient  stops  breathing 
as  soon  as  he  falls  asleep.  Stool  offensive.  Hemorrhages 
of  the  bowels  in  severe  acute  diseases  where  the  blood  is 
of  the  nature  of  charred  wheat  straw,  coming  in  flat 
flakes.  In  typhoid  with  this  form  of  hemorrhage  lachesis 
is  a  valuable  remedy.  Lachesis  is  a  valuable  remedy  at 
the  climateric,  with  flushes,  top  of  head  hot,  in  gradually 
increasing  pains  in  uterus  which  are  relieved  by  flow  of 
blood  which  may  occur  at  longer  or  shorter  intervals. 
Hemorrhages  at  climateric.  Whole  pelvic  contents  ten- 
der. 

Lycopodium.     sod  or  Higher. 

This  is  considered  a  right  sided  remedy  or  one  where 
the  trouble  arises  in  the  right  side.  A  prominent  remedy 
in  liver  troubles  of  the  atrophic  variety.  Patient  is  much 
depressed,  irritable,  weak  and  looks  thin,  sallow  and  old, 
and  although  mentally  bright  and  active,  there  is  a  weak 
condition  physically  and  a  lack  of  muscular  development. 
In  gastric  troubles  which  are  generally  the  result  of 
wrongs  of  the  liver  we  find  that  there  is  great  distress  ir. 
abdomen  from  gas,  the  result  of  fermentation.  There  is 
great  distention,  especially  in  lower  abdomen,  often 
with  much  rumbling  in  the  left  hypochondriac  region. 
Hungry,  still  a  few  mouth  full  fill  patient  up  to  distress 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM  263 

and  he  cannot  eat  any  more.  In  constipation  there  is 
desire  for,  but  stools  are  painful  from  abnormal  contrac- 
tion of  the  rectum.  Urine  dark  and  often  scanty  with 
red  sediment.  Pain  in  back  which  is  eased  by  urinating 
when  red  sand  is  passed,  is  a  prominent  indication  for 
this  remedy.  In  troubles  of  the  organs  of  respiration 
we  find  it  useful  in  latter  part  of  the  second  or  first  part 
of  the  third  stage,  especially  if  liver  complications  appear, 
and  resolution  is  protracted.  This  applies  especially  to 
the  right  lung.  In  these  cases  there  is  cough  with  much 
expectoration  and  rattling,  dyspnoea,  short  breath  and 
fan-like  motion  of  the  wings  of  the  nose.  There  may 
be  later,  thick,  gray  or  yellowish  purulent  expectoration 
of  a  salty  taste  and  a  great  deal  of  rattling  in  chest.  In 
these  conditions  lycopodium  is  a  very  useful  remedy. 
When  indicated  it  is  not  only  a  useful  remedy  in  chronic 
but  in  acute  diseases  as  well.  A  prominent  indication  of 
many  conditions  is  the  4  to  8  P.  M.  aggravation.  Nasal 
catarrh  of  the  dry  variety,  nose  clogged  up,  must  breathe 
through  mouth,  worse  nights,  sore  throat,  tonsillitis  or 
diphtheria  starting  on  right  side.  Pain  or  troubles  in  the 
abdomen,  ovaries,  eruptions,  or  any  complaint  starting 
on  the  right  side  and  crossing  the  left  should  make  us 
think  of  lycopodium.  Useful  in  impotency  in  the  elderly 
and  the  young  from  masturbation  or  sexual  excesses. 
In  old  people  whose  memory  fails,  who  begin  to  find  it 
hard  to  express  themselves  as  they  want  to  do  either  in 
speaking  or  writing  it  is  a  useful  remedy. 

Magnesium  Phosphoricum.     2x. 

We  think  of  this  remedy  in  all  pains  of  a  spasmodic 
nature;  such  as  colic,  cramps,  neuralgia,  babies'  colic, 
writer's  cramp,  teething,  troubles  with  convulsions,  neu- 
ralgic pains  of  a  darting  but  not  of  a  burning  nature, 
where  warmth  will  relieve,  palpitation  of  the  heart  in 
<ome  forms,  toothache  if  hot  fluids  relieve,  sciatica  to  re- 
lieve pain.  In  painful  menstruation  it  has  proven  a  good 
remedy,  especially  if  the  flow  is  scanty. 

It  is  our  best  remedy  in  hiccough.  In  all  cases  in  ab- 
sence of  fever  it  is  more  effective  if  taken  in  hot  water. 

Average  dose  for  adults  is  about  i  to  3  grains  of  the 


264  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

ist  or  2nd  trituration  every  ^   to  2  hours,  as  the  case 
demands. 

Mercurius  Vivus.     i2d  Upwards. 

Sweating  aggravates  pain  or  condition.  Mouth  moist 
yet  intense  thirst.  Gums  swollen  and  spongy.  Saliva 
of  stringy  nature  with  very  offensive  odor  from  the 
mouth.  Tongue  indented  on  edges  and  is  large,  flabby 
and  may  be  swollen.  Fever  not  relieved  by  sweating, 
creeping  chilliness  worse  evenings  and  in  the  night. 
There  may  alternate  flushes  and  creeping  chilliness.  Per- 
spiration may  be  very  profuse,  symptoms  aggravated 
when  getting  warm  in  bed  or  perspiring.  On  the  mucous 
membrane  discharges  are  thin  and  excoriating  at  first 
followed  by  thickening  of  the  discharge  which  becomes 
more  bland,  worse  nights.  One  of  our  best  remedies  in 
its  primary  form  for  syphilis,  however,  if  mercurius  has 
been  used  abusively  in  its  secondary  form,  nitric  acid 
should  be  used  for  the  treatment  of  syphilis.  It  has  a 
strong  action  on  the  bones  or  glands  if  indicated.  Given 
in  high  potencies  it  may  abort  suppuration  if  given  early 
enough. 

Where  sweating  increases  symptoms  or  pain  no  mat- 
ter what  the  disease  we  think  of  mercurius. 

Natrurn  Carbonicum.     6x  or  Higher. 

Conditions  aggravated  by  mental  exertion ;  but  es- 
pecially headaches.  Headaches  aggravated  by  light  or 
from  the  heat  of  the  sun.  Patient  very  sensitive  to  noise; 
but  especially  to  music.  Is  depressed  and  sad.  In  weak 
ankles,  especially  in  children.  A  good  remedy  in  chronic 
nasal  catarrh  extending  to  the  posterior  nares  and  throat. 
A  thick  mucus  continually  collects  in  throat  which  re- 
quires much  straining  and  hawking  to  raise. 

Natrum  Muriaticum.     3ox  or  Higher. 

In  anaemia,  throbbing  headache,  depressed  spirit,  hy- 
pochondriasis,  comforting  only  aggravates  condition. 
There  may  be  palpitation  of  the  heart.  Chronic  headache 
that  comes  on  in  paroxysms,  there  is  intense  throbbing, 
face  pale  or  a  little  flushed,  especially  in  the  anaemic. 
Headache  in  students  from  eye  strain.  Sense  of  dryness 


INDICATIONS  FOR  DRUGS  IN  TIIKIR    I'KI.MARY    FORM  265 

in  mouth  without  actually  being  dry.  Bitter  or  salty  or 
loss  of  taste.  In  the  alimentary  canal  we  find  that  the 
corners  of  the  mouth  or  the  lips  are  dry  and  cracked  and 
in  some  cases  even  ulcerated.  There  may  be  tingling 
or  numbness  of  the  mouth,  lips  or  nose;  this  also  ap- 
plies to  ringers  and  toes.  There  may  be  salivation  of 
watery  nature  and  very  profuse,  of  salty  taste.  There  is 
good  appetite  but  a  sense  of  fullness  in  stomach,  patient 
feels  dull,  tired  and  sleepy  after  eating;  but  no  matter 
how  hearty  the  patient  eats,  he  loses  in  flesh.  Marked 
craving  for  salt.  In  constipation  we  find  stool  hard,  dry 
and  crumbling,  may  be  fissure  of  the  anus  and  bleeding 
with  resulting  soreness  or  smarting  after  stool.  Urine 
increased  in  quantity  and  may  pass  involuntarily.  Burn- 
ing or  cutting  pain  after  urinating,  in  urethra.  This  same 
pain  if  found  in  gonorrhoea  or  gleet  when  discharge  is 
thin  and  watery  will  find  a  remedy  in  natrum  rriur. 
Watery  leucorrhoea  which  is  irritating,  and  with  pain  in 
back,  relieved  by  lying  on  something  hard.  Scanty  men- 
struation, bearing  down  pain  in  the  morning,  pain  in 
back  eased  by  lying  on  back.  Headache  during  or  after 
menses,  of  throbbing  nature,  especially  in  anaemic  sub- 
jects, turning  the  eyes  makes  them  feel  sore  and  painful. 
Palpitation  of  heart  which  may  be  of  violent  nature  with 
faintness  worse  lying  on  left  side  or  lying  down ;  pulse 
intermittent.  Troubles  arising  from  abuse  of  quinine 
and  from  malarial  chills  suppressed  only  by  quinine. 
Chills  coming  on  10  to  n  A.  M.  In  fevers  we  have  the 
same  time  of  aggravation.  All  symptoms  of  natrum  mur. 
arc  relieved  by  sweating.  In  weak  ankles  it  is  useful, 
especially  in  small  children  that  are  late  walking.  Sen- 
sation or  actual  tension  under  knees  as  if  cords  were  too 
short.  Spine  very  sensitive  to  touch,  but  hard  pressure 
ameliorates;  this  may  be  associated  with  weakness  and 
even  paresis  of  lower  extremities.  General  debility, 
prostration  and  general  nervous  exhaustion.  In  skin 
troubles  natrum  mur.  is  especially  useful,  in  eczema 
which  shows  much  inflammation  and  rawness,  especially 
at  edge  of  hair.  Tetter,  especially  where  joints  bend, 
which  discharges  an  acrid  fluid,  a  crust  forming  which 
cracks  from  time  to  time.  In  urticarea  if  indicated. 


266  MATKRIA   MEDICA  AND  CLINICAL  Til  KKAI'KUTICS 

Natrum  mur.  should  not  be  given  in  large  doses  nor 
very  often.  In  chronic  cases  a  few  doses  a  week  often 
being  sufficient.  Relaxed  uvula  if  indicated.  In  brain 
fag.  Tongue  clean,  sometimes  mapped,  may  be  covered 
with  white  bubbles  of  saliva. 

Natrum  Phosphoricum.     sx. 

A  remedy  largely  used  in  acid  conditions  of  the  sys- 
tem ;  but  especially  in  children  who  have  been  fed  too 
much  sugar,  pastry,  etc.  We  think  of  it  when  there  are 
acid  eructations,  diarrhoea  with  sour  smelling  or  greenish 
stool,  vomiting  of  sour,  curdy,  undigested  masses,  can- 
ker sores.  Tongue  indications  for  natrum  phos.  is  a 
yellowish,  creamy  thick  deposit  or  coating. 

Natrum  Sulphuricum.     3x. 

In  bilious  conditions,  bitter  taste,  vomiting  of  bile. 
Chronic  diarrhoea  with  liver  trouble,  marked  soreness  in 
the  region  of  the  liver,  which  is  very  sore  to  the  touch 
or  least  jar.  Aggravated  in  the  morning  and  from  damp 
weather.  Flatulence  and  rumbling  of  flatus,  especially 
in  the  ileo-csecal  region.  Chronic  asthma  aggravated  in 
damp  weather,  cough  loose  with  thick,  greenish  expec- 
toration, often  with  pain  in  the  lower  left  chest  going 
through  to  back  and  in  some  cases  so  severe  that  patient 
jumps  right  up  and  holds  chest  with  the  hand  or  both 
hands.  Trouble  the  result  of  living  in  damp  low  places. 

Nux  Vomica.     3d  or  Higher. 

In  the  nervous  temperament  with  hypochondriasis. 
In  marked  gastric  disturbances  with  nervous  condition 
as  a  result.  Person  is  irritable  and  easily  aroused  to 
anger.  Medicine  cannot  be  borne  well.  There  is  over- 
sensitiveness  to  noise.  Headache  from  worry,  anger, 
high  living,  abuse  of  alcoholic  beverages,  tea  or  coffee. 
Headache  aggravated  in  open  air,  sunshine,  from  light 
or  noise,  constipation,  hemorrhoids,  drugging,  mastur- 
bation, sour  stomach.  These  headaches  are  generally  not 
localized.  Backache  in  bed  relieved  by  sitting  up.  An 
hour  or  two  after  eating  there  is  a  pressure  and  tight- 
ness about  waist.  Mind  confused  for  2  or  3  hours  after 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM  267 

eating.  Bloating  in  the  epigastric  region  and  a  feeling 
of  pressure  as  if  there  was  a  stone  pressing  in  the  stomach. 
Constipation  ;  there  is  frequent  desire  but  no  result  or 
only  very  little.  Dysentery  or  diarrhoea,  stools  frequent, 
slimy  and  sometimes  bloody  but  small  and  unsatisfactory. 
Pain  relieved  a  short  time  after  each  stool. 

In  fevers  where  there  is  great  heat  all  over  the 
body,  loss  of  memory,  cannot  remain  quiet  and  still, 
is  hot  and  red,  still  uncovering  the  least  will  make 
the  patient  chilly.  Menstruation  comes  on  a  little 
too  early  and  is  too  profuse,  generally  lasts  a  few  days 
longer  than  normal.  Pain  during  the  whole  time.  In 
girls  or  women  at  climateric  with  labor-like  pains  press- 
ing down,  extending  to  rectum,  with  desire  for  stool  or 
frequent  urination.  Menorrhagia  if  patient  is  costive 
and  there  is  aggravation  in  the  morning.  Morning  ag- 
gravation is  an  important  indication  for  mix  vomica  in 
many  conditions. 

Onosmodium  V.     id  to  sd. 

Periodical  headache,  migraine,  general  debility  in 
females.  Uterine  pain  and  cramps,  pressure  aggravates 
condition,  sexual  desire  destroyed,  menstruation  too  soon 
and  lasts  too  long.  Itching  of  vulva.  Pain  in  neck  run- 
ning back  from  forehead  and  pain  in  small  of  back.  Gen- 
eral prostration,  weak,  trembling,  least  exertion  ex- 
hausts still  cannot  remain  quiet.  Flushed  face  and 
general  hot  feeling  over  entire  body.  Sensation  and 
fear  as  if  something  terrible  is  going  to  happen 
which  cannot  be  prevented.  Pains,  etc.,  worse  on  left 
side. 

Phosphorus,     sod  or  Higher. 

A  useful  remedy  in  either  acute  or  chronic  diseases. 
lUirning  sensation  in  any  part  of  the  body,  especially  of 
the  hands  and  in  the  brain.  In  the  back  may  be  intense 
burning  or  heat  running  up  the  spine.  Flushes  radiating 
all  over  the  body,  will  generally  be  found  to  start  in  back 
going  upwards,  or  from  the  hands.  Chronic  congestion 
in  the  head.  Phosphorus  in  chronic  conditions  is  found 
indicated  more  in  slender  or  tall  persons,  in  young,  slen- 


268  MATERIA   MED1CA  AND  CLINICAL  THERAPEUTICS 

der  people  growing  too  fast  and  the  nervous,  weak  and 
delicate,  in  the  light  complected,  sensitive  and  those  with 
quick  perception.  In  phosphorus  patients  there  is  rest- 
lessness and  anxiety  but  this  comes  on  before  other  con- 
ditions show  themselves.  Fidgety  all  over.  Face  gener- 
ally pale  with  bloated,  sodden  appearance.  In  fatty  de- 
generation of  the  kidneys,  liver,  heart,  especially  in  the 
weak  subjects  that  waste  away  it  is  a  useful  remedy.  On 
the  other  hand  in  obesity  where  there  is  fatty  degenera- 
tion in  the  liver  and  of  the  tissues  of  the  abdominal  walls, 
phosphorus  sometimes  works  wonders.  Vertigo,  especi- 
ally in  old  people;  desire  for  cold  food  or  drinks  but  as 
soon  as  food  gets  warm  in  stomach  is  vomited  up.  In 
cases  of  spasmodic  stricture  of  cesophegus  where  food 
comes  right  up  again  without  reaching  the  stomach,  it 
is  of  value.  Empty,  faint  feeling  in  whole  abdomen, 
patient  is  hungry  night  or  day,  even  soon  after  meals, 
and  gets  weak  or  faint  if  he  does  not  eat  then.  Abnormal 
craving  for  salt.  In  diarrhoea  or  dysentery,  stool  profuse 
and  watery,  mixed  with  white  mucus  which  looks  like 
small  pieces  of  tallow,  anus  appears  to  be  open,  still  ten- 
esmus.  Stool  may  be  bloody  with  little  pieces  of  frog 
spawn  nature.  In  constipation  stool  is  tough,  dry  and 
long  and  slender,  like  that  of  dogs.  In  chronic  catarrh 
where  a  little  blood  comes  from  nose  whenever  patient 
blows  it.  In  females  vicarious  bleeding  of  nose.  There 
is  a  tendency  to  bleed  in  phosphorus  patients;  this  may 
be  from  any  orifice  of  the  body,  sores,  cancers  or  other 
growths.  Blood  so  broken  down  that  it  will  not  clot. 
Slightest  wounds  will  bleed  profusely  and  long.  There- 
fore useful  in  persons  that  have  a  hemorrhagic  diathesis. 
Of  value  in  necrosis  of  the  bones.  The  oppression  in 
breathing  in  lung  affections  is  marked.  Hoarseness,  es- 
pecially evenings  and  before  midnight,  talking  is  diffi- 
cult and  always  aggravates  condition.  In  croup  where 
there  is  marked  involvement  of  the  bronchial  tubes  and 
lungs.  In  bronchitis  we  find  cough  to  be  worse  evenings 
and  fore  part  of  night,  tight  coughing  shaking  whole 
body,  patient  suppresses  same  as  long  as  possible  as  it 
pains  so  in  chest  to  cough.  Lying  on  left  side,  talking, 
reading,  cold  and  laughing  aggravate  it. 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM          269 

In  pleurisy  if  patient  lies  on  left  side  it  aggravates 
symptoms.  In  pneumonia  there  is  a  heavy  feeling  in 
chest  as  if  a  weight  were  on  it.  In  this  disease  it  may 
stop  progress  of  the  trouble  if  given  in  the  state  of  hep- 
atization  if  indicated.  However,  it  is  more  effective  in 
the  stage  of  resolution  if  indicated.  It  acts  most  power- 
fully on  the  lower  right  lung,  but  is  of  great  value  in 
genera]  conditions  of  lungs  if  indicated.  Phosphorus  is 
a  remedy  that  should  not  be  given  in  low  potencies  nor 
in  too  large  doses  and  not  too  often.  In  chronic  cases  a 
few  doses  a  week  are  generally  sufficient. 

For  mind  symptoms  see  under  proper  heading. 

Phytolacca  Decandra.     sd  to  6d. 

In  mastitis,  breasts  swollen,  hard  and  painful,  with 
much  fever,  headache,  and  pain  in  the  back.  When  child 
nurses  pains  radiate  all  over  the  body.  Lumps  in  the 
breasts  are  often  removed  by  the  use  of  this  remedy,  if 
given  in  high  potencies.  In  tonsillitis  or  mild  form  of 
diphtheria  it  is  of  value  when  there  are  sharp  pains  in 
throat  running  to  the  ears,  tonsils  red  and  swollen  with 
white  spots  forming  on  them.  Patient  is  very  weak,  gets 
dizzy  and  faint  when  sitting  up,  severe  headache  and  pain 
in  the  back,  aches  all  over  and  feels  sore  and  bruised, 
and  although  there  is  a  tendency  to  move,  the  least  move 
aggravates  condition.  Body  and  extremities  generally 
cool,  with  high  fever,  quick  pulse  and  hot  face  -and  head. 
Sciatic  rheumatism,  pain  running  down  the  outer  side  of 
the  leg,  especially  if  worse  in  damp  weather.  In  infants 
who  want  to  bite  on  everything  they  can  get  hold  of  and 
who  bite  their  gums  together  a  great  deal,  especially  if 
there  are  digestive  disturbances  or  there  is  diarrhoea, 
cholera  infantum,  etc. 

Plumbum  Metallicum.     3od  or  Higher. 

AVrist  drop,  partial  or  general  paralysis.  Blue  lines 
at  the  margin  of  the  gums.  Excessive  hyperaesthesia  of 
the  skin  which  is  so  severe  that  person  cannot  bear  to 
be  touched.  Emaciation  which  comes  on  suddenly  and 
progresses  rapidly.  Sensation  of  or  actual  retraction  of 
abdomen,  colic  or  pain  in  abdomen  which  radiates  to  all 


2/O  MATKKIA    MEJHCA   AM)   C\A  \ICAL  T  1 1  KKA  I'Kl'TI  CS 

parts  of  the  body,  especially  if  there  is  a  sensation  of  or 
actual  retraction  of  the  abdomen. 

Pulsatilla.     sd. 

This  remedy  is  one  that  is  mostly  found  indicated  in 
the  female  sex  and  especially  in  those  of  light  complexion 
with  light  hair,  blue  eyes,  pale  face.  There  is  sadness 
and  despondency  with  mild,  gentle,  yielding  and  change- 
able disposition.  Patient  weeps  easily  but  grieves  si- 
lently. Changeable  symptoms  are  characteristic  of  this 
remedy.  If  pain  it  will  rapidly  shift  from  one  place  to 
another;  hemorrhages  or  menses  will  stop  and  flow; 
stools  in  diarrhoea  will  change,  hardly  two  alike  in  color. 
Had  taste  in  mouth  in  morning,  often  with  much  dryness, 
but  no  thirst.  Disorders  resulting  from  rich  foods,  par- 
ticularly from  very  fat  pork.  Expectoration  has  a  bitter 
taste.  Patient  always  feels  better  in  the  cold,  even  if 
chilly.  Better  in  cold  air,  with  cold  applications ;  worse 
in  warm  rooms.  Discharge  of  mucous  surfaces  is  thick, 
bland  and  green  or  yellowish  green.  In  neuralgia  or 
rheumatism,  where  pain  shifts  rapidly  from  one  place  to 
another  where  joints  are  red  and  swollen,  it  acts  well 
if  indicated.  In  females  if  menses  come  too  late,  are 
scanty,  suppressed  or  delayed,  especially  from  getting 
wet  feet,  pulsatilla  is  the  remedy.  Where  iron  has  been 
used  so  much  as  to  harm  the  patient  it  is  a  good  remedy. 
Pressure  will  relieve  the  pulsatilla  headache.  In  gonor- 
rhoea where  testicles  becomes  involved,  in  mumps  where 
testicles  or  mammae  become  involved  it  is  a  good  rem- 
edy. Bear  in  mind  the  pulsatilla  temperament  in  all 
cases. 

Rhus  Toxicodendron.     3  to  i2d. 

A  marked  feature  in  this  remedy  is  restlessness.  Pain 
or  soreness  or  stiffness,  worse  when  quiet  and  when  be- 
ginning to  move;  but  ameliorated  by  motion  or  moving 
about,  if  continued.  The  person  will  often  walk  or  k,eep 
moving  until  exhausted,  because  he  feels  easier  by  keep- 
ing on  the  go.  In  sickness  where  patient  is  confined  we 
find  this  same  restlessness,  tossing  about,  as  this  seems 
the  only  means  to  get  relief.  In  vesicular  skin  eruptions 


INDICATIONS  FOR  DIU'CS  IN  TIMCIK  1'UIMAKY   FORM  27! 

with  restlessness,  generally  with  itching  which  burn  after 
scratching  and  are  more  of  a  bluish  red  color,  it  is  a  val- 
uable remedy.  In  intermittent  fevers,  if  patient  coughs 
during  chill.  In  typhoid,  scarlet  fever  or  any  acute  dis- 
ease where  there  is  stupefaction,  mind  cloudy ;  questions 
properly  answered  but  will  not  remember  doing  so ; 
delirium,  mild  and  persistent  and  of  the  low,  muttering 
form.  So  restless  as  to  toss  from  one  side  to  the  other 
continually  often  without  knowing  it.  Tongue  dry, 
pointed,  coated  dark  with  red  tip.  If  indicated  a  valu- 
able remedy  in  typhoid,  congestion  of  the  brain,  scarlet 
fever,  erysipelas  and  eczema. 

Sabadilla.     3d  or  Higher. 

Flatulence  or  cramps  in  abdomen  with  red  spots  form- 
ing on  same.  Tonsillitis,  swelling  beginning  on  left  side 
and  extending  to  the  right  side.  Pain  relieved  by  hot 
drinks.  Burning  dryness  in  throat. 

Sanguinaria   Canadensis.     sd   to   6d. 

Sanguinaria  is  a  useful  remedy  in  some  bronchial  and 
lung 'affections.  It  acts  more  strongly  on  the  right  lung. 
Cough  loose  with  expectoration  that  has  a  very  offensive 
odor,  especially  after  an  attack  of  bronchitis  or  pneu- 
monia. Sick  headache  in  which  the  pain  starts  in  the 
back  of  the  head  going  upwards,  spreading  over  the 
head,  settling  over  the  right  eye.  Patient  wants  to  be 
quiet  and  in  a  dark  room.  There  is  nausea  and  vomiting. 
Rheumatism  of  right  shoulder  and  arm,  worse  nights. 
Flashes  of  heat  at  the  climateric  with  heat  in  the  soles 
of  the  feet  and  the  palms  of  the  hands. 

Nitrate  of  sanguinaria  6x  is  highly  recommended  in 
diphtheria  by  some  authors  and  in  its  use  patient  is  to 
be  warned  not  to  expose  himself  to  the  least  draft. 

Secale   Cornutum.     3d  or  Higher. 

Marked  coldness  of  surface^  still  cannot  bear  to  be 
covered  or  have  parts  covered^  that  are  very  cold,  even 
ic\  cold  to  touch,  although  the  patient  complains  of  burn- 
ing or  burning  heat.  Burning  in  the  feet  and  cramps  in 
calves  of  legs.  There  may  be  numbness  and  sensation  of 


2/2  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

crawling  in  skin  and  even  paralysis,  especially  of  the 
lower  extremities.  Burning  in  any  or  all  parts  of  body, 
as  if  sparks  of  fire  were  dropping  on  the  surface.  The 
secale  patient  is  generally  weak  and  there  may  be  a  con- 
dition of  general  collapse,  skin  generally  dry  and  wrin- 
kled. Useful  in  gangrene  of  extremities,  especially  the 
lower.  In  weak  cachectic  women,  with  wreak  and  flabby 
muscles,  subject  to  passive  hemorrhages,  blood  dark, 
worse  on  motion  even  if  ever  so  slight,  ergot  is  a  useful 
remedy. 

Sepia.     i2d  or  Higher. 

In  eruptions  of  the  skin  it  is  often  indicated.  We 
think  of  it  in  itch,  tetter,  pruritus,  soreness  of  skin,  itch- 
ing followed  by  burning  on  scratching  parts,  brown  or 
yellow  spots  on  face  or  any  part  of  the  body.  Flashes 
of  heat  with  perspiration  and  a  faint  feeling.  Drooping 
of  the  eyelids.  In  stomach  there  may  be  an  empty,  gone 
feeling,  even  to  faintness.  Especially  useful  in  wrongs 
of  reproductive  organs  of  the  female.  Flashes  of  heat 
seem  to  start  in  the  pelvic  region  and  from  there  spread 
all  over  the  body,  these  may  be  accompanied  by  perspira- 
tion and  faint  feeling.  Hands  and  feet  are  hot  alternately 
and  it  is  not  simply  a  sensation  of  heat  or  flashes  but 
parts  feel  actually  hot  to  the  touch.  The  discharge  from 
the  uterus  or  vagina  is  thick,  bland  and  profuse.  There 
may  be  congestion  of  all  the  pelvic  organs,  ulceration  of 
the  cervix  uteri,  prolapsus  of  vagina  and  uterus.  Aver- 
sion to  sexual  intercourse.  Patient  weak,  easily  fatigued, 
weak  or  sinking,  fainting  from  exposure  to  extreme  cold, 
heat,  getting  wet,  walking,  riding  or  hard  work.  Loses 
all  interest  in  family,  house  or  home.  Is  sad  and  cries 
often  without  knowing  why.  Frequent  micturition  with 
sense  of  tension  in  region  of  bladder.  Urine  reddish  or 
even  bloody  with  clay  colored  sediment.  Odor  very  of- 
fensive, especially  in  women.  In  enuresis  the  child  is 
only  troubled  in  first  sleep. 

Gonorrhoea  or  gleet  in  the  male  where  the  discharge 
is  thin,  watery  and  scant,  but  persistent.  Prolapsus  of 
the  rectum  with  sensation  as  of  a  ball  in  same,  not  re- 
lieved by  stool ;  abnormal  moisture  of  rectum,  there  may 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM         273 

be  beating  and  throbbing.  In  constipation  with  great 
straining,  must  assist  with  fingers  at  times.  Headache, 
pain  comes  on  in  severe  shocks,  so  severe  as  to  jerk  head. 

Silica.     6x  or  Higher. 

A  valuable  remedy  where  there  is  a  continued  tendency 
to  desquamation.  It  has  plastic  power  over  cartilage. 
Therefore  of  value  in  inflammation  terminating  in  sup- 
puration. It  hastens  maturity,  assists  in  discharging 
the  pus  and  then  prevents  further  exudation,  thus  cor- 
recting the  condition.  Silica  is  especially  indicated  in 
those  that  are  thin  and  spare  and  look  as  if  they  were 
not  well  nourished,  which  actually  is  the  result  of  lack 
of  assimilation  and  not  a  lack  of  nourishment.  No  grit; 
ambition  all  gone.  They  are  very  sensitive  to  cold  air, 
wind  and  sudden  change  in  temperature  and  take  cold 
easily,  showing  that  there  is  a  lack  of  vitality  and  body 
heat.  Head  and  feet  are  especially  very  sensitive.  Must 
wrap  uj)  Avell  to  make  up  for  lack  of  normal  body  heat, 
In  children  that  will  not  grow  and  are  thin  although  the 
abdomen  may  be  large,  it  is  often  indicated.  Constipa- 
tion with  backache  in  weakly  subjects,  stool  large  and 
hard,  often  protruding  part  way  only  to  go  back  on  ac- 
count of  lack  of  strength.  Face  generally  gets  very  red 
in  the  effort  on  account  of  severe  straining.  In  sweating 
of  the  head  and  offensive  sweating  of  the  feet.  Burning 
of  feet,  especially  at  night.  In  suppression  of  sweating 
of  feet  it  is  a  valuable  remedy.  Marked  appetite  for 
cold,  raw  food.  Rickets  in  puny,  thin  children.  Habit- 
ual vomiting  in  infants,  while  nursing.  Diarrhoea  in  sum- 
mer, in  infants  during  dentition,  bowels  loose  and  change- 
able, child  eats  well  and  still  wastes  away.  Chronic  ten- 
dency to  sneeze. 

Spongia  Tosta.     3d  or  Higher. 

In  croup  in  which  the  cough  is  severe  and  there  is 
threatened  suffocation,  aggravated  when  awakening 
from  sleep,  this  is  a  valuable  remedy.  In  bronchitis  or 
laryngitis  or  chronic  affections  of  the  respiratory  organs 
where  there  is  hoarseness,  burning,  soreness,  rawness, 
aggravated  by  cold  air,  swallowing,  singing,  talking  and 


274  MATERTA   MED1CA  AND  CLINICAL  THERAPEUTICS 

evenings.  Ameliorated  momentarily  when  eating  or 
drinking  anything  warm.  In  chronic  organic  heart  trou- 
ble with  sympathetic  cough  spongia  is  of  great  value. 
especially  if  patient  awakes  with  difficult  respiration, 
sense  of  suffocation,  anxiety  and  severe  loud  and  dry 
cough.  In  goitre,  if  patient  feels  as  if  suffocating  after 
awakening  from  sleep  it  is  of  value. 

Stannum  Metallicum.     i2x  or  Higher. 

In  pains  in  the  abdomen,  especially  if  chronic  and  of 
neuralgic  nature  and  where  pressure  ameliorates ;  pain 
gradually  increases  and  then  gradually  decreases.  In 
chest  the  weakness  is  so  great  that  patient  can  hardly 
talk.  In  wrongs  in  the  respiratory  tract  there  is  cough 
with  profuse  expectoration  which  is  thick  and  yellow 
or  greenish  and  of  a  sweetish  taste.  In  females  who  are 
debilitated  and  so  weak  that  they  can  hardly  walk  and 
where  walking  down  stairs  aggravates  condition.  Leu- 
corrhoea  in  the  thin,  weak  and  debilitated.  Night  sweats 
profuse,  especially  on  the  chest. 

Staphisagria.     3d  to   i2d. 

The  staphisagria  patient  is  generally  irritable,  out  of 
humor  and  the  least  remark  will  often  provoke  him. 
Wants  this  or  that  only  to  reject  or  push  it  away.  Every- 
thing seems  to  be  in  his  way.  Grieves  and  worries  al- 
most continually  about  the  future.  A  true  type  of  the 
apathetic  or  hypochondriac.  In  conditions  the  result  of 
sleeplessness,  annoyance,  masturbation  or  those  who 
have  their  minds  too  much  on  sexual  matters.  Contin- 
ual burning  in  urethra,  relieved  when  urinating.  Pros- 
tatic  troubles,  especially  in  old  men.  In  both  male  and 
female  where  there  is  backache  worse  in  the  night  in 
bed  and  before  rising  in  the  morning,  the  result  of  wrongs 
of  the  genital  organs.  Excrescenses  looking  like  cauli- 
flower, anywhere.  For  skin  eruptions,  condylomata  and 
warts  it  is  a  useful  remedy.  Eczema  which  forms  scabs 
and  discharges  an  acrid  fluid.. 

A  valuable  remedy  in  chalazion,  styes,  .eczema  of  the 
eyelids  and  inflammation  of  the  margin  of  the  eyelids. 
Incised  wounds  will  heal  more  quickly  if  staphisagria  is 


INDICATIONS   KOK  DKIT.S    IN   THEIR  PRIMARY    I OKM  275 

given  internally.  Sinking  sensation  in  stomach  as  if 
it  would  drop  down  if  not  held  up  with  hands  or  artificial 
support.  In  cross  and  puny  children  whose  teeth  get 
black,  gums  sensitive  and  painful,  who  are  pot  bellied, 
with  chronic  inflammation  or  ulceration  of  the  eyelids, 
and  are  subject  to  habitual  colic,  this  remedy  is  curative. 
Dysentery  with  above  symptoms,  which  is  aggravated 
by  taking  the  least  food  or  drink,  is  soon  corrected  by 
the  use  of  staphisagria. 

Sulphur.     6x  or  Higher. 

l/seful  in  local  congestions  or  tendency  to  same.  It 
fnvors  absorption.  Ts  one  of  our  best  antipsoric  reme- 
dies. The  main  indication  for  this  remedy  is  burning 
in  or  on  any  part  of  the  body  and  orifices.  Burning  in 
feet,  patient  uncovers  them  to  cool  off;  although  sulphur 
may  also  be  useful  where  feet  are  cold.  In  the  orifices 
burning  is  generally  associated  with  redness  and  dis- 
charges are  excoriating  and  acrid.  Eruptions  of  itching 
nature,  if  scratched  will  burn.  Useful  in  conditions  re- 
sult of  suppressed  eruptions  or  hemorrhoids.  In  conges- 
tive condition  of  head  and  chest  as  a  result  of  suppression 
where  vertex  is  hot  and  patient  feels  too  full  in  region 
of  heart.  Is  so  oppressed  as  not  to  be  able  to  stand  it  in 
a  closed  room,  blood  rushing  to  the  head.  Feels  as  if 
suffocating  unless  doors  and  windows  are  opened,  es- 
pecially at  night.  Pain  in  heart  through  to  back.  If  our 
indicated  remedies  do  not  act  a  few  doses  of  sulphur  often 
pave  the  way  to  success,  and  the  indicated  remedies  will 
act  better  afterwards.  In  these  cases  we  generally  find 
some  suppression  or  a  taint  of  psora.  Aversion  to  get- 
ting washed  or  bathed.  In  many  conditions  of  psoric 
nature,  where  people  are  filthy,  or  wdiere  there  is  a  filthy 
odor  of  the  body  even  if  it  is  clean  and  bathed  often.  Lips 
bright  red,  tongue  white  coated  with  red  tip  and  edges. 
Diarrhoea  of  painless  nature,  especially  in  the  early 
morning.  Weakness  and  faint  feeling  especially,  which 
may  be  alternated  or  preceded  by  hot  flushes  or  flashes 
of  heat  with  perspiration  and  faint  feeling.  Sulphur  is 
more  indicated  in  lean,  stooped  people  than  others  and 
also  more  in  chronic  than  acute  cases. 


276  MATERIA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Tarantula  Hispana.     sod  or  Higher. 

In  hysteria  as  a  result  of  hypenesthesia  or  congestion 
of  the  reproductive  organs  in  the  female.  Patient  is  very 
easily  depressed  or  excited,  especially  by  music.  Can- 
not keep  quiet,  no  matter  in  what  position,  still  exercise 
aggravates  condition.  Pruritus  and  excessive  sexual  de- 
sire. Twitching  and  jerking  of  muscles  and  chorea  as 
result  of  uterine  or  ovarian  troubles  with  above  indica- 
tions. Pain  and  marked  sensitiveness  of  back. 

Thuja  Occidentalis.     i2d  or  Higher. 

Thuja  is  one  of  our  main  antipsoric  remedies.  Warts 
or  condylomata  will  disappear  if  thuja  is  given,  but  it 
is  especially  effective  if  these  are  the  result  of  suppression 
of  gonorrhoea.  Chordee  and  severe  pain  in  gonorrhoea 
are  corrected  by  this  remedy  if  indicated  and  given  in 
high  potencies.  Styes  or  chalazion  of  eyelids;  inflamma- 
tion of  or  polypus  of  the  ear.  Warts  on  nose  ;  greenish 
discharge  of  nose  or  scabs  in  nose ;  teeth  decaying  at 
roots  ;  varicosities  in  throat  or  in  the  mouth  or  both.  Hair 
growing  in  splits,  growing  slowly  or  falling  out.  Head- 
aches result  of  vaccination.  Sensation  of  rumbling  and 
much  noise  in  abdomen.  Abdomen  distended,  irregular, 
and  as  if  there  was  something  alive  and  moving  in  it, 
generally  associated  with  a  great  deal  of  noise  and  rum- 
bling. Diarrhoea,  especially  if  the  after  effects  of  vac- 
cination. Stools  are  profuse  and  come  with  much  force. 
Constipation,  stools  are  large,  composed  of  hard,  black 
balls,  hard  to  pass,  often  receding  after  partially  passed. 
Face  of  thuja  generally  looks  greasy  or  shiny. 

For  mind  symptoms  see  under  proper  heading. 

Veratrum  Album.     2d. 

The  main  indication  for  this  remedy  is  cold  sweats  on 
forehead.  Great  prostration,  face  pale  and  sunken,  cold- 
ness of  parts  or  entire  body,  cold  sweats,  cold  breath, 
skin  pale  or  bluish  red,  wrinkled  with  loss  of  elasticity. 
skin  hippocratic,  in  fact  a  picture  of  a  condition  where 
the  vital  forces  are  very  low  and  there  is  a  general  col- 
lapse. Pains  which  may  make  patient  delirious. 


INDICATIONS  FOR  DRUGS  IN  THEIR  PRIMARY  FORM         277 

In  cholera,  with  stools  the  nature  of  rice  water  and 
very  profuse.  In  any  disease  or  condition  where  we  have 
the  cold  sweats  on  forehead. 

For  mental  symptoms  see  under  proper  heading. 

Zincum   Metallicum.     i2x   or   Higher. 

In  excessive  prostration,  nervous  debility  and  con- 
ditions where  there  is  a  lack  of  nerve  force.  In  acute 
eruptive  diseases  where  eruptions  will  not  develop  on 
account  of  marked  weakness  of  patient.  In  asthma,  bron- 
chial affections  where  patient  is  too  weak  to  expectorate 
the  accumulating  mucus.  In  females  where  there  is  ex- 
cessive weakness  and  no  menstruation.  When  the  erup- 
tion or  menses  appear  patient  is  relieved ;  also  after  ex- 
pectorating what  was  raised  with  difficulty. 

Alcoholic  beverages  cannot  be  borne  by  patient,  es- 
pecially wine.  Weary  feeling  in  neck,  weakness  or  pain 
in  back  easier  when  moving  about.  Emission  in  sex- 
ual weakness  temporarily  makes  patient  feel  better  but 
feels  weak  afterwards.  Fidgety  all  over,  but  especially 
in  feet,  cannot  keep  them  still.  Twitching,  trembling  or 
jerking  in  general  or  of  certain  muscles  only,  which 
often  is  the  forerunner  of  paralysis.  May  be  burning 
along  the  spine  without  actual  heat.  In  brain  or  other 
troubles  with  extreme  prostration,  no  matter  what  the 
condition,  zincum  met.  is  a  valuable  remedy,  if  indicated. 


REMEDIES  ACTING  ON  CERTAIN  REGIONS  OF 
THE  BODY. 


ABDOMEN. 

Burning:  Arsenicum  album,  bryonia,  cantharidcs, 
mix  vomica,  phosphorus,  rhus  tox.,  sabadilla,  sepia. 

Coldness:  Arsenicum  album,  ceclron,  kreosotum, 
phosphorus. 

Fullness  and  hardness:  Anacardium  or.,  antimonium 
crud.,  carbo  veg.,  china,  crocus  s.,  graphites,  lycopodium, 
mix  vomica. 

Heat:  Belladonna,  cantharides,  mix  vomica,  selenium. 

Heaviness:  Asafcetida,  calcium  phos.,  graphites,  hel- 
leborus  n.,  mix  moschata,  sepia,  sulphur. 

Pain  and  tenderness  aggravated  by  least  jar:  Bella- 
donna. 

Pain  forcing  patient  to  bend  double:  Belladonna, 
chelidonium,  colocynthis,  sabadilla,  sepia,  stannum  in., 
veratrum  album. 

Pain  when  bending  double:  Aconite,  dioscorea  vil. 

Pain  and  tenderness  in  hypochondriac  region:  Bella- 
donna, china,  mercurius,  natrum  sulph.,  mix  vomica,  pod- 
ophyllum. 

Pain  of  throbbing  nature  in  hypochondrium  :  Aconite, 
graphites,  podophyllum,  pulsatilla. 

Protruding,  irregular  as  if  there  was  something  alive 
in  abdomen  shifting  about:  Thuja  oc. 

Rumbling  in  abdomen,  especially  in  the  splenic  flex- 
ure of  colon  :  Lycopodium. 

Rumbling  in  abdomen,  especially  in  the  ascending 
colon:  Podophyllum. 

Sunken  abdomen  :  Hydrastis,  plumbum  acetate. 

Swelling  abdomen  :     Arsenicum  album,  kali  niur. 

Tenderness  in  abdomen:  Arsenicum  album,  bella- 
donna, bryonia,  podophyllum,  sulphur,  thuja  oc. 

Trembling  in  abdomen  :   Ignatia  am. 

LIVER. 

Carduus  m. :  Pain  in  region  of  liver,  bad  or  bitter 
taste,  vertigo  and  nausea.  In  gall  stone  colic  it  is  a 


RKMKIHKS  ACnXG  ON   CKRTATN  REGIONS  279 

useful  remedy  and  if  taken  any  length  of  time  will  re- 
move the  tendency  to  formation. 

Chelidonium :  Pain  or  soreness  in  region  of  liver  with 
pain  under  right  shoulder  blade.  Bitter  taste.  Stool 
gray,  clay  or  gold  colored.  Nausea  and  vomiting,  only 
being  able  to  retain  hot  water  or  drinks.  In  acute  or 
chronic  liver  troubles. 

China:  In  hypertrophy  of  the  liver  with  much  sore- 
ness. 

Lycopodium :   In  atrophy  of  the  liver  when  indicated. 

Magnesium  mur. :  Soreness  or  pain  in  region  of  liver, 
aggravated  by  lying  on  right  side ;  with  constipation. 

Mercurius :  Soreness  or  pain  in  region  of  liver  ag- 
gravated by  lying  on  right  side ;  with  loose  bowels. 

Ptelea :  Soreness  or  pain  in  liver  aggravated  by  lying 
on  left  side. 

Jaundice:  Aconite,  aurum  mur.  and  natrum,  high  po- 
tencies; chelidonium,  china,  digitalis,  podophyllum. 

SPLEEN. 

Ceanothus  am. :  This  is  our  best  remedy  for  the 
spleen.  See  first  part  of  this  work  under  Ceanothus  am. 

STOMACH. 

Bloating  in  the  pit  of  the  stomach :  Arsenicum  album, 
daphne  ind.,  lycopodium,  mix  moschata,  mix  vomica, 
petroleum. 

Burning  in  stomach  :  Arsenicum  album,  bryonia,  can- 
tharides,  mix  vomica,  phosphorus,  rhus  tox.,  sabadilla, 
sepia. 

Sensation  of  swelling  in  pit  of  stomach  :  Bryonia. 

Swelling  of  pit  of  stomach  :  Aconite,  arsenicum  al- 
bum, bryonia,  calcium,  kali  mur.,  lycopodium,  natrum 
mur.,  sulphur. 

Throbbing  in  epigastrium:  Caladium,  cannabis  ind., 
pulsatilla. 

Throbbing  in  the  inguinal  region  :  Lycopodium,  sul- 
phuric acid. 

Throbbing  in  umbilical  region :  Aconite,  aloe. 

Trembling  in  abdomen  :  lodium. 


280  MATERTA  MEDICA  AND  CLINICAL  THERAPEUTICS 

Weak,  empty,  gone  feeling  in  stomach  :  Hydrastis, 
ignatia,  sepia ;  in  whole  abdomen — phosphorus. 

Gastralgia :  If  of  nervous  origin.  There  is  generally 
severe  burning  in  the  stomach  and  a  pressing  pain  be- 
tween the  shoulders,  often  accompanied  by  anguish  and 
restlessness :  Bismuth  subnitrate. 

Gastric  fever  where  tongue  is  coated  all  over  with  a 
heavy  white  layer  almost  milk  color:  Antimonium  crud. 

Gastric  ulcers:  Argentum  nit.,  hydrastis,  iris  v.,  or 
kali  bichrom.,  if  indicated. 

Pyrosis  and  heartburn:  Calcium,  capsicum,  carbo 
veg.,  chamomilla,  china,  belladonna,  nitric  acid,  mix 
vomica,  pulsatilla,  staphisagria,  sulphur,  sulphuric  acid. 

Waterbrash :  Bryonia,  calcium,  hepar  sulph.,  ipecac, 
mercurius,  nitric  acid,  mix  vomica,  pulsatilla,  sepia,  silica, 
sulphur. 

BACK. 

Burning  in  the  back:  Carbo  an.,  lycopodinm,  nitric 
acid,  phosphorus. 

Drawing  in  back :  Anacardium  or.,  causticum,  lyco- 
podium,  mix  vomica,  rhus  tox. 

Lame  back:  Agaricus,  gaultheria,  rhus  tox. 

Pain  in  back:  Where  muscles  are  contracted  manual 
treatment  will  give  relief  where  medicine  would  fail. 

Pain  in  back  in  general:  Belladonna,  gaultheria, 
ledum  p.,  lycopodium,  colchicum,  petroleum,  pulsatilla, 
sepia,  zincum  met. 

Pain  in  back  of  sharp  nature :  Carbo  an.,  lycopodium, 
nitric  acid,  phosphorus. 

Pain,  cramp-like:  Bryonia,  colocynthis,  conitim  m., 
euphrasia,  graphites,  lycopodium,  magnesium  phos., 
spongia  t. 

Pain  from  wet  cold:  Dulcamara,  rhus  tox. 

Pain  in : 

Region  of  kidneys:  Benzoic  acid,  berberis  vtil. 

Neck:  Belladonna,  helleborus  n.,  lachesis. 

Nape  of  neck:  Ammonium  carb.,  daphne  ind. 

Lumbar  region :  Bryonia,  graphites,  lycopodium, 
nitric  acid,  petroleum,  phosphorus,  pulsatilla,  sepia,  silica, 
sulphur,  zincum  met. 


REMEDIES  ACTING  ON  CERTAIN  REGIONS  28l 

Hips :  Calcium,  dulcamara,  ledum  p.,  pulsatilla,  valer- 
ian. 

Shoulder  blades :  Belladonna,  graphites. 

Shoulder  blade,  right :  Chelidonium. 

Shoulder  blade,  left :  Chenopodium. 

Hips,  when  stooping :  Natrum  sulph. 

Sacral  region  in  the  night  and  especially  before  rising 
in  the  morning:  Staphisagria. 

Back  in  general  worse  lying  down  and  in  the  morn- 
ing :  Nux  vomica. 

Pain  in  back  extending  into  gluteal  region,  of  dull 
nature  with  weakness :  Kali  carb. 

When  rising  from  a  stooping  position :  Veratrum  al- 
bum. 

In  lumbar  region  when  rising  from  stooping  position : 
Lycopodium,  veratrum  album. 

In  back  after  sitting  down  :  Ledum  p. ;  when  sitting 
down:  zincum  met.;  when  moving:  bryonia,  chamo- 
milla,  kali  bichrom. ;  severe  when  rising  from  seat  re- 
lieved when  walking  or  standing' :  argentum  nit.,  causti- 
cum,  sulphur. 

In  back  in  general  zincum  met.  is  a  good  remedy  if 
of  nervous  origin ;  if  of  rheumatic  origin :  ledum  p. 

Pain  in  sacral  region,  a  dull  nature,  result  of  hemor- 
rhoids, motion  aggravates :  Aesculus  hip. 

Pain  in  coccyx:  Magnesium  carb.  If  severe,  so  sen- 
sitive as  not  to  bear  the  least  touch  no  matter  how  soft 
the  seat :  Lobelia. 

Paralytic  pains  in  back  or  tendency  to  paralysis :  Coc- 
culus  hid.,  natrtim  mur.,  silica. 

In  neck  :  Lycopodium. 

In  lumbar  region :  Natrum  mur. 

Lumbago :  Bryonia,  ledum  p.,  nux  vomica,  pulsatilla, 
rims  tox.,  sulphur. 

Perspiration  in  axillae:  Bovista,  sulphur,  thuja  oc. 

Sciatica:  Aconite,  arsenicum  album,  bryonia,  cham- 
omilla,  coffea,  colocynthis,  ignatia  am.,  nux  vomica,  pul- 
satilla, phytolacca,  rhus  tox. 

Stiff  neck :  Belladonna,  bryonia,  cimicif uga. 


282    .         MATERTA   MEDIC  A  AND  CLINICAL  THERAPEUTICS 

HEART. 

Aconite:  Numbness  of  left  arm,  especially  in  acute 
conditions.  Palpitation  with  heat. 

Arsenicum  album :  Constriction  or  compression  in 
heart  when  walking.  Constriction  on  awakening  throws 
off  covers.  Palpitation  worse  lying  down. 

Cactus  grand. :  Sensation  of  constriction  of  heart  as  if 
a  band  was  around  it,  preventing  its  normal  action  and 
causing  difficult  breathing.  Pain  and  weight  on  vertex. 
Irregularity  of  the  heart's  action,  pulse  weak,  irregular 
and  even  intermittent,  cold  perspiration  on  face  and  even 
fainting.  Walking  or  lying  on  left  side  aggravates  con- 
dition. In  oedema  of  left  extremities  or  heart  trouble  re- 
sulting from  inflammatory  rheumatism.  Wrongs  of  the 
heart's  action  are  much  benefited  by  this  remedy  if  in- 
dicated. 

Calcium  fluor. :  In  organic  changes  of  the  heart  where 
there  are  pains  as  a  result  of  endo-  or  pericarditis ;  in 
valvular  thickening  or  other  heart  troubles  bordering 
on  effusion  this  is  a  valuable  adjunct  to  the  other  indi- 
cated remedies. 

Carbo  veg. :  Vital  forces  so  low  as  to  threaten  col- 
lapse. Weak  feeling  in  chest.  Want  to  be  fanned  in 
order  to  be  able  to  breathe. 

Convallaria  m. :  Dropsical  condition  the  result  of 
weakness  of  the  heart.  Palpitation  of  sympathetic  na- 
ture, in  women  with  uterine  troubles. 

Crataegus:  As  a  general  tonic  to  the  heart  muscles. 
Should  be  given  in  3  to  5  drop  doses  of  the  mother  tinc- 
ture 3  to  4  times  a  day.  In  emergency  in  5  to  10  drop 
doses,  as  often  as  necessary. 

Digitalis:  Pulse  slow  or  irregular  and  may  be  inter- 
mittent. There  is  often  blueness  of  the  eyes,  face  and 
nose;  patient  staggers,  cannot  get  his  breath,  worse  ly- 
ing down.  Feels  weak  and  faint  in  stomach  and  has 
a  sensation  as  if  heart  would  stop  if  moving.  Respiration 
may  be  difficult  and  irregular  and  patient  often  draws  a 
deep  sigh.  Breath  seems  to  fade  away  when  going  to 
sleep.  Dropsy,  the  result  of  heart  trouble  in  which  face 


REMEDIES  ACTING  ON  CERTAIN  REGIONS  283 

is  bluish   and  in   some  cases  the  hands,  lower  parts  of 
legs  and  feet  also. 

Glonoine :  Pain  and  weight  in  vertex.  Face  red, 
throbbing  carotids.  Sensation  of  rush  of  blood  to  the 
head  and  in  some  cases  the  same  sensation  is  felt  in 
chest.  A  remedy  for  temporary  conditions  only. 

lodium:  Sensation  as  if  heart  was  held  in  a  tight  grip. 

Kalmia  lat. :  There  may  be  wild,  tumultuous  action  of 
heart,  and  again  the  heart  may  beat  very  slowly  but 
hard.  Again  where  it  beats  faintly  this  remedy  is  also 
of  value.  Pulse  may  be  fast  but  generally  is  remarkably 
slow.  Of  value  in  heart  troubles  result  of  rheumatism 
This  remedy  appears  to  have  tendency  to  correct  abnor- 
mal conditions,  especially  where  pulse  is  slow. 

Lachesis :  Constriction  in  chest  and  in  some  cases  in 
throat  also ;  especially  on  awakening  from  sleep.  Sleeps 
into  aggravation. 

Laurocerasus :  Heart  troubles  with  cyanosis  and  dys- 
pnoea which  is  worse  sitting  up. 

Moschus :  Nervous  palpitation  of  the  heart. 

Oxalic  acid :  Palpitation  and  dyspnoea  which  are 
worse  when  patient  thinks  about  it,  in  cases  where  there 
is  organic  heart  trouble. 

Psorium:  Cyanosis  or  dyspnoea  worse  sitting  up. 

Senega:  Dyspnoea,  especially  if  there  is  an  asthmatic 
condition. 

Spigelia  ant. :  Cannot  lie  on  left  side,  amelioration 
lying  on  right  side.  Condition  aggravated  by  lying  with 
head  low.  Half  sitting  posture  the  most  comfortable. 
A  valuable  remedy  in  acute  attacks  and  chronic  attacks 
following  same.  Where  there  is  violent,  visible  palpita- 
tion of  the  heart  with  blowing  sounds,  may  be  so  violent 
as  to  shake  whole  chest.  Pain  is  often  of  a  violent  na- 
ture. Palpitation  of  the  heart  stooping  forward. 

Spongia  tosta :  Valvular  trouble  of  the  heart  in  which 
patient  awakens  with  a  sense  of  suffocation.  Violent, 
loud  cough,  great  anxiety,  result  of  heart  trouble.  Can- 
not lie  with  head  low.  Useful  in  valvular  murmurs  of 
years'  standing  as  well  as  in  acute  attacks. 

Tiger  lily :  Sensation  as  if  heart  was  grasped  and  re- 


284  MATERIA   MEDICA   AND  CLINICAL  THERAPEUTICS 

leased  alternately,  in  the  female,  where  there  are  wrongs 
in  the  reproductive  organs. 

Veratrum  album :  Prostration,  collapse  with  cold 
sweat  on  forehead.  May  have  cold,  clammy  sweats  all 
over.  Extremities  cold. 

Angina  pectoris,  remedies  useful  in  general :  Arsen- 
icum  album,  cactus  g.,  carbo  veg.,  cratsegus,  digitalis, 
mix  vomica,  sambucus  nig.,  senega,  veratrum  album. 

Shooting  pains  in  heart:  Belladonna,  bryonia,  mer- 
curius. 

CHEST. 

Arsenicum  album:  Pain  through  upper  part  of  right 
chest.  Burning  pain.  Pain  ameliorated  by  heat,  may 
be  midnight  aggravation. 

Bryonia:  Pain  aggravated  by  motion,  ameliorated  by 
pressure,  quiet,  or  lying  on  affected  side,  cough  generally 
dry. 

Calcarea  ostrearum :  Middle  and  upper  part  of  right 
lung  affected. 

Croton  tiglium :  Pain  drawing  through  from  nipple 
to  back  while  nursing. 

Kali  bichrom. :     Ropy  or  jelly-like  expectoration. 

Kali  carbonicum :  Sitting  up  and  leaning  forward 
ameliorates  chest  affections.  Cough  or  other  symptoms 
aggravated  at  about  3  A.  M.  Lying  on  side  affected  ag- 
gravates. Pain  through  lower  right  chest. 

Lachesis  sod:  In  tuberculosis  of  the  lungs  in  the  last 
stages  to  give  temporary  relief  our  best  remedy.  Also 
for  sore  mouth  in  last  stage  of  consumption. 

Mercurius :  Pain  through  lower  right  chest  if  indi- 
cated. 

Myrtus  communis :  Pain  in  upper  left  chest  through 
to  scapula.  Cough  generally  dry  and  obstinate. 

Natrum  sulph. :  Pain  through  lower  left  lung  below 
nipple  of  a  stitching  nature,  cough  loose. 

Phosphoric  acid:  Expectoration  profuse,  purulent  and 
offensive.  See  mind  symptoms:  in  such  cases  it  will 
if  used  early  save  many  a  one  from  tuberculosis  of  the 
lungs. 

Phosphorus:  Great  oppression  in  breathing,  a  sensa- 


REMEDIES  ACTING  ON  CERTAIN  REGIONS  285 

tion  as  if  a  heavy  weight  were  on  chest.  In  pneumonia 
to  stop  hepatization  in  early  stage  or  in  later  stages  to 
favor  resolution.  Given  too  often  or  too  low  potency 
will  aggravate  condition.  Stitches  in  left  side  aggra- 
vated by  lying  on  same,  in  pleurisy.  In  bronchitis  cough- 
ing hurts  so  that  patient  tries  to  suppress  it  as  long  as 
possible.  In  tuberculosis  a  dose  here  and  there,  high 
potency,  gives  relief. 

Rumex  crispus :  Pain  through  lower  left  lung  below 
nipple  of  a  stitching  nature. 

Silica  :  Pain  drawing  through  from  left  nipple  to  back, 
if  indicated. 

Sulphur:  Chest  sensitive  to  touch  and  when  inspir- 
ing. Left  lung  affections.  Lips  bright  red  as  if  blood 
would  burst  through. 

Theridion  currassavicum :  Pain  in  upper  left  chest 
through  to  shoulder. 

Tuberculinum  500  or  1000  P. :  A  drop  once  a  week 
for  4  weeks,  then  every  2  weeks  for  a  month,  then  every 
month  for  a  short  while.  A  useful  remedy  in  tuberculosis 
of  the  lungs. 

For  remedies  especially  effective  in  pneumonia  or 
pleurisy  see  under  proper  heading. 

EARS. 

Bones,  swelling  of  in  ears  :  Pulsatilla. 

Boring  pain  in  ears :  Belladonna,  helleborus  n.,  spi- 
gelia  ant. 

Burning  in  ears :  Agaricus,  kreosotum,  rhus  tox.,  san- 
guinaria,  sulphur. 

Cold,  suffering  in  ears  caused  by  cold :  Agaricus,  caus- 
ticum,  kali  mur. 

Cracking  in  ears :  Baryta  carb.,  calcium,  kali  mur.. 
nitric  acid. 

Deafness:  Arnica,  kali  mur.,  phosphorus,  raphan  sat. 
nig.,  secale  cor. 

Dryness  in  ear:  Graphites. 

Hammering  noise  :  Spigelia  ant. 

Hearing,  difficult  after  cold  :  Kali  mur.,  mercurius. 

Herpes  in  ears:  Before  lobes:  oleander.  Behind; 
graphites,  sepia.  In  lobes  ;  causticum,  sepia. 


286  MATERIA   MED1CA  AND  CLINICAL  THERAPEUTICS 

Human  voice,  difficult  to  hear:  Calcium,  phosphorus, 
sulphur;  voice  harder  to  hear  than  other  sounds,  ignatia 
am. 

Itching  in  ears :  Ammonium  carb.,  graphites,  sulphur. 

Music  in  ears,  sounds  of:  Calcium,  natrum ;  pain 
when  hearing  music,  phosphoric  acid. 

Mucous  discharge:  Calcium,  carbo  veg.,  graphites, 
kali  mur.,  lycopodium,  mercurius,  nitric  acid,  phosphorus, 
pulsatilla,  sulphur. 

Purulent  discharge:  Aurum  met.,  belladonna,  borax 
v.,  calcium,  carbo  veg.,  graphites,  hepar  sulph.,  mercurius, 
rhus  tox.,  silica,  sulphur. 

Obstruction  of  ears  when  swallowing:  Mercurius. 

Otitis,  acute:  Bryonia,  chamomilla,  kali  mur.,  mer- 
curius, pulsatilla,  with  involvement  of  brain,  belladonna. 

Otitis,  chronic:  Belladonna,  borax  v.,  calcium,  caus- 
ticum,  kali  mur.,  lachesis,  mercurius,  nitric  acid,  petro- 
leum, pulsatilla,  silica,  sulphur,  thuja  oc. 

Note :  For  best  general  treatment  of  otitis  acute  and 
chronic  see  part  I  of  this  work. 

Pain  in  ears :  Add  to  your  indicated  remedies  in  a  2 
ounce  bottle  the  following:  20  drops  of  mother  tincture 
of  valerian:  give  */  to  y^  teaspoonful  every  15  minutes 
to  ]/2  hour  until  easier,  then  at  longer  intervals.  If  ear- 
ache is  left  sided  add  spigelia  ant.,oss  to  the  valerian  and 
indicated  remedies,  and  if  right  sided  kalmia  1.  5ss  to 
above  mixture  and  use  as  before. 

Polypus  in  ears:  Calcarea  ost.,  staphisagria,  thuja  oc. 

Ringing  in  ears:  Causticum,  kreosotum,  ledum  p., 
lycopodium,  mix  vomica ;  ringing  in  ears,  of  bells,  arsen- 
icum  album,  valerian. 

Roaring  in  the  ears :  Aconite,  arsenicum  album,  bella- 
donna, bryonia,  calcium  phos.,  carbo  veg.,  causticum, 
china,  chamomilla,  graphites,  hepar  sulph.,  mercurius, 
nitric  acid,  pulsatilla,  sepia. 

Snapping  in  ears:  Calcium,  sabadilla,  silica,  sulphur. 

Sounds  of  drum  in  ears :  Lachesis. 

Whistling  in  ears :  Graphites,  kreosotum,  muriatic 
acid,  mix  vomica,  secale  cor. 


KIM  KDIES  ACTING  ON  CERTAIN  REGIONS  287 

EYES. 

Ciliary  neuralgia  pains  running  from  eyes  through 
to  back  of  head,  headache  of  a  stabbing  nature  or  presses 
outwards  with  sensation  as  if  eyeballs  were  too  large 
for  socket :  cimicifuga,  spigelia. 

Confused  sight  as  if  looking  through  a  fog  or  as  if 
caused  by  something  that  could  be  rubbed  away,  especi- 
ally in  the  open  air,  mornings  or  evenings.  Frequent 
and  profuse  lachrymation  when  exposed  to  wind  or 
bright  daylight.  Patient  more  pale,  pupils  contracted : 
pulsatilla. 

Pressure  in  eyes  as  if  caused  by  sand,  confusion  of 
sight  when  reading,  which  disappears  on  rubbing  eyes, 
dilated  pupils,  photophobia  :  cina. 

Profuse  lachrymation  with  burning,  severe  pain  and 
sensation  of  dryness  in  eyes,  nocturnal  blindness :  vera- 
trum  album. 

Sudden  attack  of  blindness  by  day  or  cloudiness  of 
sight  as  if  covered  with  a  veil.  Frequent  lachrymation, 
especially  in  open  air  and  wind.  Extremely  sensitive  to 
light,  especially  bright  light.  Pressing  pains  in  eyes, 
orbit  and  forehead  :  Phosphorus. 

Most  important  remedies  in  inflammation  of  the  eyes : 
Agentum  nit.,  belladonna,  conium,  euphrasia  and  mer- 
curius.  Less  so:  Aconite,  arnica,  calcium,  cantharides, 
chamomilla,  dulcamara,  ledum  p.,  nitric  acid,  phosphorus, 
pulsatilla,  sulphuric  acid,  veratrum  album. 

Argentum  nit. :  In  inflammation  of  the  eyes ;  but  es- 
pecially in  the  purulent  form,  in  which  it  is  our  best  rem- 
edy. Useful  in  both  acute  and  chronic  ophthalmia. 

Arnica  :  Tn  inflammation  the  result  of  bruises. 

Belladonna :  Pain  ameliorated  by  holding  head  back : 
very  sensitive  to  cold  touch  and  very  restless.  Photo- 
phobia is  generally  marked.  Sight  is  not  clear ;  as  if 
looking  through  a  heavy  fog. 

Cantharides:  If  the  result  of  burns  or  the  heat  and 
glare  of  fire. 

Conium  m. :  .Especially  in  scrofulous  persons.  Al- 
though the  inflammation  does  not  appear  to  be  severe 


288  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

the  pain  and  sensitiveness  to  light  are  very  severe.  Worse 
nights.  Pressure  and  darkness  ameliorate  pain. 

Euphrasia :  Lachrymation  and  photophobia.  lives 
red  and  inflamed,  often  with  mucus  of  sticky  nature  form- 
ing on  the  eyes  which  shifts  when  moving  the  eyes  or 
lids.  There  may  be  agglutination  of  eyelids  and  matter 
may  form,  especially  at  the  inner  canthus  of  the  eyes. 
Valuable  in  both  acute  and  chronic  conditions.  Tears 
acrid  and  corrosive. 

Ledum  palustre :  If  result  of  blows.  Blue  or  black 
eyes. 

Mercurius:  Worse  nights  and  when  sweating.  Dis- 
charge at  first  thin  and  acrid,  often  becomes  thick  and 
bland  in  a  short  while.  Purulent  form  where  there  is 
agglutination  of  the  lids  with  pus  forming  under  them. 

Burning  heat  in  eyes:  Arsenicum  album,  belladonna, 
bryonia,  capsicum,  calcium,  carbo  veg.,  colocynthis,  cro- 
cus s.,  euphrasia,  kreosotum,  mercurius,  nitric  acid,  phos- 
phorus, rhus  tox.,  sulphur,  veratrum  album. 

Congestion  of  eyes :  Aconite,  belladonna,  phosphorus. 

Dryness  of  eyes:  Arsenicum  album,  asafoetida,  baryta 
carb.,  crocus  s.,  drosera,  lycopodium,  mix  moschata,  pul- 
satilla,  staphisagria,  sticta  p.,  sulphur,  veratrum  album, 
zincum  met. 

Dryness,  sensation  only:  Asafcetida,  belladonna,  ba- 
ryta carb.,  mix  moschata,  mix  vomica,  silica. 

Ecchymosed  conjunctiva  or  sclerotica :  Arnica,  bella- 
donna, chamomilla,  lachesis,  ledum  p.,  mix  vomica,  sen- 
ega. 

Eye  strain  from  close  study,  reading,  writing,  sewing, 
etc. :  Bryonia,  natrum  mur.,  ruta  g.,  senega. 

Inflammation  of  iris :  Argentum  nit.,  clematis  e.,  con- 
iuni  m.,  mercurius,  plumbum  acetate,  senega,  sulphur. 

Itching :  Belladonna,  causticum,  kali  bichrom.,  kal- 
mia  1.,  kreosotum,  lobelia,  mercurius,  mix  vomica,  sul- 
phur. 

Pain  in  eyes :  Arsenicum  album,  belladonna,  euph- 
rasia, graphites,  mercurius,  pulsatilla,  spigelia,  sepia, 
staphisagria. 

Pain,  drawing  or  tearing:  Arsenicum  album,  bella- 
donna, bryonia,  causticum,  sulphur. 


REMEDIES  ACT  INC  ON  CERTAIN  UECIONS  289 

Pain  worse  at  night:  Arsenicum  album,  mercurius. 
Tears  acrid  and  corrosive :  Arsenicum  album,   euph- 
rasia,  kreosotum,  natrum  mur. 

Watery  Eyes : 

Allium  cepa:   From  colds,  discharge  bland. 

Chelidonium :  In  general  conditions,  especially  of  the 
right  eye. 

Euphrasia :  In  general  or  from  colds,  etc.,  discharge 
acrid  and  corrosive. 

Spigelia  ant. :  Left  sided  headache,  ciliary  neuralgia, 
with  lachrymation  of  left  eye. 

Weak  eyes  in  general :  Apis  mel.,  belladonna,  bry- 
onia,  china,  euphrasia,  phosphorus,  ruta  g. 

Blindness  in  heat  of  sun :  Conium  m.,  glonoine,  lach- 
esis,  veratrum  alb. 

Blindness,  attack  by  day:  Aconite,  silica,  sulphur. 

Blindness,  attack  at  night:  Belladonna,  veratrum  al- 
bum. 

Colors  before  eyes — Blue  or  objects  appear  bluish: 
Strontium. 

Green  or  objects  appear  greenish:  Phosphorus,  sepia. 

Red  or  objects  appear  reddish  :  Belladonna,  conium 
m.,  crocus  s.,  hyoscyamus,  strontium. 

Yellow :  Arsenicum  album,  cantharides,  digitalis,  sul- 
phur. 

Various   colors :  Cicuta   v.,   digitalis,   stramonium. 

Confusion  of  colors:  Belladonna,  calcium,  crocus  s., 
mercurius,  pulsatilla,  ruta  g.,  staphisagria,  stramonium. 

Confusion  of  letters  when  reading:  Bryonia,  china, 
daphne  ind.,  graphites,  lachesis,  lycopodium,  natrum 
mur.,  silica,  stramonium. 

Diplopia :  Belladonna,  cactus  grand.,  cicuta  v.,  cim- 
icifuga,  daphne  ind.,  digitalis,  gelsemium,  hyoscyamus, 
natrum  mur.,  sulphur. 

Flames  of  fire  before  the  eyes :  Aururn  .met.,  bella- 
donna, bryonia,  cannabis  ind.,  lachesis,  mercurius,  pul- 
satilla, zincum  met. 

Flashes  like  lightning  before  the  eyes :  Crocus  s.,  mix 
vomica,  spigelia. 


290  MATERIA   MEDIC  A  AND  CLINICAL  THERAPEUTICS 

Hemiopia — See  only  lower  half  of  object:  Aurum 
met;  see  only  left  half:  Lithia  carb.,  lycopodium. 

Mobility  of  letters  when  reading:  Belladonna,  cicuta 
v.,  conium  m.,  mercurius. 

Objects  appear  nearer  than  they  are:  Bovista  ;  more 
distant:  Anacardium  o.,  nicotine,  stannum  met.,  sulphur. 

Objects  appear  inverted:  Belladonna.  Appeal- 
smaller  than  they  are:  Platina,  stramonium.  Appear 
larger  than  they  are:  Hyoscyamus.  Appear  as  if  coming 
towards  you:  Argentum  nit. 

Photophobia:  Arsenicum  album,  belladonna,  calcium, 
cina,  conium  m.,  drosera,  euphrasia,  hepar  sulph.,  igna- 
tia  am.,  mercurius,  mix  vomica,  phosphorus,  pnlsatilla. 
rhus  tox.,  veratrum  album. 

Pupils  contracted :  Anacardium  o.,  arnica,  belladonna, 
chamomilla,  chelidonium,  cicuta  v.,  cina,  digitalis,  igna- 
tia  am.,  cimicifuga,  muriatic  acid,  phosphorus,  pulsatilla, 
silica,  staphisagria. 

Pupils  dilated:  Belladonna,  calcium,  china,  cina, 
cicuta  v.,  cocculus  ind.,  hyoscyamus,  nitric  acid,  stramon- 
ium. 

Distorted:   Baryta  carb.,  mercurius,  sulphur. 

Immovable:  Belladonna,  cuprum  met.,  digitalis,  hiu- 
rocerasus,  nitric  acid,  stramonium. 

Rings — Blue  around  lighted  candle :  Lachesis.  Green 
ring :  Phosphorus,  sepia.  Red  ring :  Ruta  g. 

Variegated  colors  and  objects:  Cicuta  v.,  stannum 
met. 

Sight  not  clear  as  if  looking  through  a  heavy  fog: 
Belladonna,  calcium,  digitalis,  kalmia  1.,  mercurius,  plum- 
bum acetate,  sabina. 

Spots  moving  before  eyes:  Aurum  in.,  cocculus  ind., 
conium  m.,  phosphorus,  ruta  g.,  secale  cor.,  sulphur, 
thuja  oc. 

Spots — Black  before  eyes:  Aconite,  Anacardium  o., 
cocculus  ind.,  fluoric  acid,  lycopodium,  mercurius,  nitric 
acid,  phosphorus,  secale  cor.,  .  staphisagria,  sulphur. 
White  spots:  Arsenicum  album,  sulphur.  Gray:  Phos- 
phorus, silica.  Stars :  Belladonna.  Whirling  spots  be- 
fore eyes :  Squill. 


KKMKDIKS  A(TIN<;  <>\    CKKTAIN    RKCIO.XS  2(Jl 

Strabismus:  Belladonna,  gelsemium,  hyoscyamus,  sc- 
calc  cor.,  stramonium. 

EYELIDS. 

Inflammation  of  eyelids  in  general :  Argenturn  nit., 
arsenicum  all)iim,  euphrasia,  graphites,  mercurius  v., 
staphtsagria,  sulphur.  To  a  less  degree:  Belladonna,  cal- 
cium, chamomilla,  pulsatilla,  veratrum  album. 

Argentum  nit.:  In  severe,  obstinate  cases,  discharge 
generally  purulent,  although  it  may  be  watery  and  bland. 
Eyelids  and  eyes  red.  Ulceration  and  agglutination  of 
eyelids. 

Arsenicum  album :  Discharge  thin,  watery,  acrid  and 
burning. 

Borax  v. :  Excoriation  of 'margin- of  lids,  lashes  stick 
together,  arc  sticky  and  gummy  and  turn  inward,  thus 
setting  up  irritation  in  the  eyes,  chronic  inflammation 
of  margin  of  eyelids  with  above  indications. 

Cantharides:  AYith  vesicles,  especially  if  from  burns. 

Euphrasia:  With  lachrymation  and  photophobia. 
Discharge  generally  acid.  This  may  be  in  acute  or 
chronic  conditions,  in  colds,  influenza,  etc.  We  often  see 
spots  of  mucus  on  the  eyes  which  shift  when  eyes  or 
lids  arc  moved  and  there  may  be  an" 'accumulation  of  pus 
in  inner  canthus  of  eyes.  Ulceration  of  margins  of  the 
eyelids. 

Graphites:  Chronic  inflammation,  especially  of  the 
margins.  Eczema  of  the  eyelids  with  scales  and  crusts : 
eruptions  moist. 

Mercurius:  Worse  nights.  Sweating  aggravates. 
Discharge  thin  and  acrid,  changing  to  thick  and  bland: 
but  may  be  purulent.  Ulceration  of  eyelids.  Agglutin- 
ation of  eyelids,  especially  in  the  morning. 

Rhus  tox. :  Vesicular  inflammatory  conditions  of  eye- 
lids with  much  burning  and  itching.  Marked  restless- 
ness. Agglutination  of  eyelids,  especially,  .in  the  morn- 
ing. .  , . ....  ..  ./...':"::;/..  * 

Staphisagria :  Acute  or  chronic  inflammations,  hut  es- 
pecially the  latter  and  of  the  margins,  .of  the  .eyelids. 
There  may  be  itching  which  is  relieved  by  scratching, 


2C;2  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

but  soon  begins  to  itch  in  other  places  near  by.  Eczema 
of  the  eyelids. 

Sulphur:  Chronic  forms  where  eyelids  and  especially 
the  margins  are  very  red.  There  may  be  burning  and 
itching,  ulceration  of  the  margin  of  the  eyelids.  Eczema 
of  eyelids,  margin  very  red. 

Burning  and  heat  in  eyebrows  and  margin  of  eyelids: 
Belladonna,  calcium,  euphrasia,  rhus  tox,  sulphur. 

Chalazion  on  eyelids:  Staphisagria,  thuja  oc. 

Drooping  or  falling  of  eyelids  :  Causticum,  coniuni  in., 
gelsemium,  sepia. 

Dryness  of  eyelids:  Arnica,  arsenicum  album.  Dry- 
ness  when  sleeping:  Pulsatilla. 

Eyebrows  falling  out:  Alum,  plumbum  acetate,  sel- 
enium, silica.  When  result  of  syphilis:  Mercurius,  ni- 
tric acid. 

Herpes  on  eyelids:  Hryonia,  kreosotum,  rhus  tox.. 
sepia. 

Itching  of  margin  of  lids:  Nux  vomica,  staphisagria, 
sulphur, 

Opening  eyelids  is  difficult:  Arsenicum  album,  caus- 
ticum,  mercurius,  phosphorus,  spigelia,  sulphuric  acid. 

Paralysis:  Causticum,  conium  m.,  gelsemium,  sepia, 
veratrum  album,  zincum  met. 

Pimples  on  eyebrows:  Fluoric  acid,  silica,  thuja  oc. 

Styes  on  eyelids:  Graphites,  pulsatilla,  staphisagria, 
thuja  oc. 

Swelling  of  eyelids:  Hard:  Aconite,  thuja  oc.  Oede- 
matous :  Arsenicum  album,  pulsatilla,  rhus  tox.  Upper 
lids  from  constitutional  cause :  Kali  carb.  Lower  lids 
from  constitutional  cause :  Apis  mel.  All  around  eye 
from  constitutional  cause :  Phosphorus. 

Twitching:  Dulcamara,  ignatia  am.,  mix  vomica. 

FACE. 

Face,  ears  or  nose  red  and  itching :  Agaricus. 

Flushes  from  least  emotion:  Ferrum  acetate  or  met. 
Chronic  flushes  :  Amyl  nitrite.  With  heat  in  top  of  head, 
if  indicated :  Sulphur. 

Freckles:  Berberis  vul.,  bryonia,  calcium  phos., 
graphites,  lactic  acid,  lycopodium,  natrum  mur.,  nitric 


KKMKDIKS  ACTIXC,  OX   CKRTAIN  REGIONS  293 

acid,  phosphorus,  pulsatilla,  sulphur,  veratrum  album. 

Greasy  appearance  of  face  and  greasy  perspiration : 
Natrum  mur.,  plumbum,  selenium,  thuja  oc. 

Hanging  down  ja\vs :  Arsenicum,  lycopodium,  muri- 
atic acid. 

Lips  bright  red  as  if  blood  would  burst  through : 
Sulphur:  In  tubercular  subjects:  Tuberculinum. 

Lips,  dryness :  Bryonia,  china,  tartaric  acid,  vera- 
trum album. 

Lips  purple :   Baryta  carb.,  digitalis,  sulphur. 

Pimples  on  face :  If  no  other  remedy  is  especially  in- 
dicated, muriatic  or  nitric  acid  is  useful.  As  a  general 
remedy  Lloyd's  specific  berberis  aquifolium  in  5  to  10 
drop  doses  3  to  4  times  a  day  in  a  little  water  is  an  ex- 
cellent remedy.  We  find  the  following  are  often  indi- 
cated: Belladonna,  causticum,  carbo  veg.,  hepar  sulph., 
sepia,  sulphur. 

Swelling  from  toothache:  Belladonna,  chamomilla, 
coffea,  magnesium  carb.  From  gum  boils :  Mercurius. 

Swelling  of  upper  lip :  Belladonna,  calcarea  ost.,  na- 
trum  mur. 

Yellow  color  of  face :  Calcium,  china,  digitalis,  graph- 
ites, lycopodium,  mercurius,  natrum  mur.,  pulsatilla. 

Yellow  color  around  eyes :  Nitric  acid,  spigelia.  On 
lips :  Stramonium.  Around  mouth :  Nux  vomica.  On 
temples :  Causticum. 

Coppery  look  of  face:  Alum,  nitric  acid. 

Parchment-like  look  of  face :  Arsenicum  album. 

Yellowish,  swarthy  appearance  of  face :  Lycopodium. 

HEAD. 

Burning  in  head :  Aconite,  argentum  nit.,  arnica,  ar- 
scnicum  album,  belladonna,  bryonia,  cantharides,  caus- 
ticnm,  graphites,  melilotus,  mix  vomica,  phosphorus, 
rims  tox,  sepia,  spigelia. 

Coldness  in  head:  Arnica,  calcium,  laurocerasus, 
phosphorus,  phytolacca,  valerian. 

Confusion  in  head — Bewilderment:  Aconite,  aethusa 
c\ .,  belladonna,  benzoic  acid,  bryonia,  calcium,  mix  mos- 
chata,  mix  vomica.  As  if  from  coryza :  Berberis  vul.  As 
if  from  fatigue  in  head :  Natrum  carb.,  natrum  mur.  As 


294  MATERTA   MEDIC. \    AND  CLINICAL  THERAPEUTICS 

if  caused  by  intoxication :  Pulsatilla.  Alternated  with 
clearness:  Murex  p.  Stupifying :  Cocculus  ind.,  crocus 
sativus,  dulcamara. 

Congestion  in  head :  Aconite,  argentum  nit.,  bella- 
donna, bryonia,  helleborns  n.,  kali  iodide,  melilotus,  mer- 
curius,  mix  vomica,  rhus  tox. 

Congestion,  chronic,  with  burning  in  the  brain,  feels 
as  if  the  heat  comes  up  from  spine :  Phosphorus. 

Dullness  in  head:  Cocculus  ind.,  crocus  sativus,  dul- 
camara, kalmia  1.,  podophyllum. 

Empty  feeling:     Cocculus  ind.,  cuprum,  pulsatilla. 

Feeling  of  expansion  or  fulness:  Aesculus  hip.,  argen- 
tum nit. 

Fullness  in  head:  Aconite,  ammonium  mur.,  bella- 
donna, bryonia,  rhus  tox.,  sulphur. 

Hammering  or  throbbing:  Ammonium  mur.,  bella- 
donna, calcium,  clematis  e.,  ferrum  acetate,  glonoine, 
lachesis,  natrum  mur. 

Heat  in  head:  Arnica,  aurum,  belladonna,  bryonin, 
laurocerasus,  mix  vomica,  phytolacca,  sul|)luir. 

Heat,  flushes  of:  Caladium,  ferrum  acetate,  lycopo- 
dium,  sulphur. 

Heat  flushes  at  climateric  in  women  :  Lachesis,  san- 
guinaria  nit. 

Itching  in  head  :  Digitalis.  Itching  of  seal]),  violent  : 
Graphites,  lycopodium,  silica,  sulphur. 

Sensation  as  if  band  or  circle  was  around  head  :  Actli- 
usa  cy.,  mercurius,  sulphur,  thcridion  cur. 

Sensation  as  if  head  was  in  a  vise:  Magnesium,  pla- 
tina,  pulsatilla,  sabadilla,  stanmim  met.,  sulphur. 

Softening  of  the  brain:  Kali  iodide,  kali  mur.,  lach- 
esis. 

Vertex,  throbbing  in,  often  with  one  side  of  face  cold 
and  pale,  chronic  flushing  of  face:  Amvl  nitrite. 

LOWER  EXTREMITIES. 

Abscess  in  hip  joint  disease  in  the  joints  or  in  long 
bones:  Calcarea  hypophosphorica  ix. 

Ankles:  Weakness,  bending  outward:  Xatrnm  carl).. 
I2x.  Weakness  in  ankles  if  indicated:  Carbo  an.,  na- 
trum mur.  3ox. 


RKMKDIKS  ACTINC.ON    CERTAIN  REGION'S  295 

Ankles,  paralysis  of  late  in  afternoon  :  Chamomilla  3(1. 

Burning  in  feet  in  general :  Phosphorus,  pulsatilla, 
sulphur.  Burning,  still  cold  to  the  touch,  cannot  bear  to 
have  feet  covered :  Secale  cor. 

Callous  skin  on  soles  of  feet:  Antimonium  crud.,  sil- 
ica. 

Chilblains  in  feet:  Petroleum.  Red  and  itching:  Am- 
monium mur.,  agaricus  300!  or  200. 

Coldness  of  lower  extremities:  Belladonna,  calcium, 
carbo  an.,  carbo  veg.,  causticum,  conium  m.,  graphites, 
lycopodium,  nitric  acid,  silica,  vcratrum  album,  zincum 
met. 

Coldness,  sensation  without  actual  coldness :  Berberis 
vul.,  mercurius,  rhododendron. 

Cramps  in  legs:  Calcium,  causticum,  graphites,  hyos- 
cyamus,  nitric  acid,  secale  cor.,  sulphur. 

Delay  in  walking  in  children  on  account  of  weak  an- 
kles: Calcium  phos.,  phosphorus,  sulphur. 

Drawing  in  feet:  China,  cuprum,  rhododendron, 
sepia,  staphisagria,  valerian,  zincum  met. 

Drawing  in  legs :  China,  ferrum  acetate,  muriatic 
acid,  natrum  mur.,  natrum  sulph.,  pulsatilla,  rhododen- 
dron. 

Feet,  heels  and  soles — Soles  get  sore  from  foot  sweat : 
Baryta  carb.  Tender  and  painful :  Pulsatilla.  Soles  and 
heels  tender  when  walking:  Ledum  p.  Soles  swollen  and 
painful :  Lycopodium.  Soles  covered  with  corns  and  cal- 
losities, can  hardly  walk  on  them,  so  tender:  Antimon- 
ium crud. 

Soles  of  feet  and  palms  of  hands  hot,  with  flashes 
at  climateric:  Sanguinaria. 

Feet,  offensive  sweat:    Baryta  carb.,  silica. 

Pain  in  feet:  Ammonium  mur.,  causticum.  ledum  p., 
phytolacca. 

Sensation  as  if  stockings  were  damp:     Calcarea  ost. 

Shortening  of  tendons  in  lower  extremities :  Caus- 
ticum, cimcx  lect.,  sulphur. 

Shortening  of  tendons  of  ham:  Graphites,  natrum 
mur.,  sulphur.  Sensation  of,  without  actual  shortening 
of  tendons :  Causticum,  cimex  lect.,  sulphur. 


296  MATERIA   MED1CA  AND  CLINICAL  THERAPEUTICS 

Sweating  of  feet:  Calcium,  calcarea  ost.,  carbo  veg., 
lachesis,  silica,  sulphur. 

Sweating  of  feet,  suppressed :  Silica,  sulphur. 

Trembling  in  legs  and  feet:  Gelsemium,  leclum  p., 
lycopodium,  pulsatilla,  ruta  g.,  zincum  met. 

MOUTH. 

Aphthae :  Borax  v. :  Green  stool  with  aphthae.  Afraid 
of  falling  from  downward  motion.  Kali  bichrom. :  Ul- 
cers with  deep,  regular  edges  as  if  cut ;  saliva  stringy. 
Mercurius  vivus:  Gums  swollen  and  may  be  bleeding; 
odor  of  mouth  very  offensive,  saliva  soapy  or  stringy. 
Nitric  acid :  Corners  of  mouth  cracked  and  sore.  Gums 
swollen  and  odor  of  mouth  very  offensive,  all  outlets  of 
the  body  may  be  sore  or  cracked.  Phytolacca :  Often 
useful  in  aphthae,  especially  if  there  is  glandular  swell- 
ing. Sulphuric  acid :  Great  debility,  with  aphthae,  sour 
eructation.  In  children  they  smell  sour  all  over.  In 
grown  people  there  is  often  a  sense  of  internal  trem- 
bling. 

Burning  in  mouth:  Chamomilla,  magnesium  mur., 
sabadilla,  veratrum  album. 

Burning  heat  in  mouth  :  P>ryonia,  carbo  veg.,  cham- 
omilla,  colchicum. 

Coldness  in  mouth:  Camphor,  tartaric  acid,  veratrum 
album. 

Dryness  of  mouth  without  thirst:  Apis  mel.,  lachesis, 
pulsatilla.  Especially  at  night :  Xux  moschata. 

Dryness,  sensation  only,  without  actual  dryness : 
Natrum  mur. 

Gums:  Broken  down  condition,  especially  of  the  ali- 
mentary canal,  gums  get  spongy,  bleed  easily:  Carbo 
veg. 

Very  painful,  swell  and  look  dark  red  or  blue,  teeth 
decay  rapidly,  gums  spongy  :  Kreosotum.  If  cholera  in- 
fant nm  has  these  symptoms  kreosotum  is  the  rcmedv 
also. 

Mouth  moist,  yet  thirst,  gums  swollen,  spongy,  some- 
times bleeding.  Tongue  may  also  be  swollen  and  take 
imprint  of  teeth:  Mercurius. 

Inflammation  of  mouth  in  general:  Mercurius,  nitric 


REMEDIES  ACTING  ON  CERTAIN  REGIONS  297 

acid.  Produced  by  salt :  Carbo  veg.,  spirits  of  nitre.  Pro- 
duced by  burning:  Apis  mel.,  cantharides  high  potency. 
Produced  by  mercurius :  Carbo  veg.,  nitric  acid. 

Lips  bright  red  as  if  blood  would  burst  through :  Sul- 
phur. In  tubercular  patients :  Tubercnlinum  1000  p. 
Ulcers  of  lips :  Kali  bichrom. 

Mouth  moist,  yet  intense  thirst:  Mercurius.  Saliva 
accumulates,  still  there  is  sense  of  dryness:  Colchicum. 
Hot  water  coming  up  in  the  mouth :  Daphne  ind. 

Salivation  or  accumulation  of  stringy  mucus:  Hy- 
drastis,  iris  v.,  kali  bichrom.  Of  watery  mucus:  Jabor- 
andi,  lobelia,  natrum  mtir.  From  abuse  of  mercurius: 
Carbo  veg.,  nitric  acid.  Of  mucus  in  general:  Bella- 
donna, colchicum,  dulcamara,  nitric  acid,  phosphorus, 
phosphoric  acid.  In  salivation  faradic  current  often  is 
beneficial.  Use  negative  pole  to  tip  of  tongue  and  pos- 
itive in  hand.  Use  3  to  4  times  a  day  and  only  very  mild 
current.  If  galvanic  current  is  used,  reverse  poles. 

SALIVA  TASTE  AND  NATURE. 

Acrid:  Arsenicum  album,  kalmia  1.,  kreosotum,  mer- 
curius, nitric  acid,  veratrum  album. 

Bitter  taste:  Arsenicum  album,  bryonia,  kali  sulph., 
kalmia  1.,  pulsatilla,  sulphur,  thuja  oc. 

Fetid :  Digitalis,    kreosotum,    mercurius,    nitric    acid. 

Frothy :  Berberis  vul.,  bryonia,  cantharides,  plum- 
burn  acetate,  sabina,  spigelia,  sulphur. 

Hot :  Daphne  ind. 

Metallic  taste  of  saliva :  Bismuth  subnitrate,  cocculus 
ind.,  cuprum  met.,  zincum  met. 

Salty:  Arsenicum  album.,  phosphorus,  sepia,  sulphur, 
veratrum  album. 

Soapy :  Bryonia. 

Sour :  Calcium  phos.,  ignatia  am.,  iris  v.,  natrum 
sulph.,  nitric  acid,  mix  vomica,  podophyllum. 

Sweetish :  Digitalis,  plumbum  acetate,  pulsatilla,  sa- 
badilla,  stannum  met. 

ODOR  OF  MOUTH. 

Fetid  or  putrid:  Anacardium  o.,  arnica,  arsenicum 
album,  bryonia,  chamomilla,  china,  graphites,  mercurius, 


298  MATF.RTA    MEDfCA   AND  CLlXlCAL  TTI  ERATKUTfCS 

nitric  acid,  nux  vomica,  podophyllum,  pnlsatilla,  sulphur. 

Flesh  odor:  China,  sulphur. 

Sour:  Calcarea  ost.,  calcium  phos.,  nux  vomica. 

Stinking,  unbearable :  Arsenicum  album,  chamo- 
milla,  mercurius,  nitric  acid. 

Urine :  Graphites. 

SPEECH. 

Bawling:  Cuprum  met. 

Dryness  of  throat  from:   Uryonia,  causticum,  senega. 

Higher  than  normal:  Lachesis. 

Indistinct:  Bryonia,  calcium  phos.,  causticum,  lach- 
esis,  lycopodium,  secale  cor. 

Interrupted   suddenly:  Cannabis   incl.,   tabacum. 

Loss  of  speech:  Belladonna,  cannabis  ind.,  causticum, 
laurocerasus,  mercurius,  plumbum  acetate,  stramonium 
veratrum  album. 

Loss  of  speech  after  apoplexy :  Laurocerasus. 

Nasal,  as  if  talking  through  the  nose:  I'elladonna 
lachcsis,  phosphoric  acid. 

Paralysis  of  speech:  Cannabis  ind.,  cantharides,  caus- 
ticum. 

Stammering:  Belladonna,  secale  cor.,  stramonium 
veratrum  album. 

Trembling  voice:   Aconite,  ignatia  am. 

Whispering  or  murmuring:  Stramonium. 

Whistling:   Belladonna,  causticum. 

NOSE. 

Black  pores:  Graphites. 

Blackness  of  nose:   Mercurius. 

Blowing  of  blood  from  nose:  Aurnm  met.,  causti- 
cum, carbo  veg.,  graphites,  secale  cor.,  sepia,  sulphur. 

Caries  of  bones  of  nose:  Aurnm  met. 

Bones  swelling :  Mercurius. 

Chronic  inflammation  of  nose:   Fluoric  acid. 

Coldness  of  nose:  -Arnica,  belladonna,  murex  p. 
plumbum  acetate,  veratrum  album. 

Dryness  of  nose:  Belladonna,  calcium,  graphites,  na- 


REMEDIES  ACTING  ON  CERTAIN  REGIONS  2O/) 

trum  mur..  petroleum,  phosphorus,  sepia,  silica,  sticta, 
sulphur. 

Epistaxis  after  blowing  of  nose:  Argentum  nit.,  phos- 
phorus, spongia  t. 

Fan-like  motion  of  alae  nasi  in  severe  disease :  Ly co- 
podium,  tartar  emetic. 

Freckles  on  nose :  Phosphorus,  sulphur. 

Itching  of  nose,  in  general:  Alum,  carbo  veg,,  cina, 
nitric  acid,  oleander,  silica,  spigelia,  teucrium  marum. 

Itching  of  alae  and  point  of  nose :  Causticum,  silica. 

Mucous  discharge  of  nose :  Burning :  Allium  cepa, 
arsenicum  album,  sulphur.  Corrosive :  Allium  cepa, 
kreosotum,  mercurius.  Greenish :  Carbo  veg.,  kali 
sulph.,  pulsatilla.  Putrid:  Graphites.  Watery:  Arsen- 
icum album,  euphrasia,  lachesis.  Yellowish:  Phos- 
phorus, sulphur. 

Nodosities  in  nose :  Arsenicum  album,  calcarea  ost., 
teucrium  marum. 

Numbness  and  tingling  in  nose  :Natrum  mur. 

Pain  as  from  contraction:  Sabadilla. 

Pain  in  root  of  nose:  Hyoscyamus,  petroleum,  pul- 
satilla, ruta  g.,  sticta  p. 

Picking  of  nose,  impulse  to :  Cina,  phosphoric  acid, 
selenium,  teucrium  marum. 

Polypus  of  nose:     Calcarea  ost.  6x ;  teucrium  marum. 

Perspiration  on  bridge  of  nose :  Ruta  g. 

Redness  of  nose:  Belladonna,  calcium  phos.,  mer- 
curius; of  corners:  Plumbum  acetate;  of  interior:  Bel- 
ladonna ;  of  margins :  Lachesis ;  of  point :  Calcarea, 
carbo  an.,  nitric  acid,  rhus  tox,  silica. 

Scabs  or  plugs  forming  in  nose:  Alum,  aurum  mur., 
borax  v.,  calcium,  carbo  veg.,  graphites,  kali  bichrom., 
lycopodium,  nitric  acid,  sepia,  silica,  sulphur. 

Sensation  of  foreign  body  in  nose :  Calcium  phos. 

Sneezing:  Chronic  tendency  to  sneezing:  Silica. 
Worse  in  the  morning:  Causticum.  Itching  or  tickling 
in  the  nose  which  causes  an  inclination  to  sneeze  with- 
out sneezing.  Wants  to  sneeze  but  cannot:  Carbo  veg. 
Tickling  in  nose  followed  by  sneezing:  Pulsatilla. 
Sneezing  from  cold  or  coryza  see  indicated  remedies. 


3OO  MATKKIA    MKDICA   AND  CLINICAL  THKRAPEUTICS 

SKIN. 

Black  pores:  Nitric  acid:  sulphur. 

Crawling  in  skin  at  night  if  no  other  remedy  is  indi- 
cated :  Sulphur. 

Creeping  in  skin :  Agnus  cast.,  spongia  t.,  staphis- 
agria. 

Chronic  dryness  of  skin :  Graphites. 

Itching  in  skin  in  cold :  Spongia  t. 

Itching  in  general,  in  skin,  especially  evenings  or 
when  getting  warm  in  bed  :  Bryonia,  cocculus  ind.,  mer- 
curius, oleander,  mix  vomica,  pulsatilla,  rhus  tox.,  sul- 
phur. 

Parchment-like  skin :  Arsenicum  album. 

Perspiration  greasy :  Carbo  veg.,  china,  magnesium. 

Perspiration,  too  profuse  or  general  tendency  to : 
Carbo  veg.,  china,  mercurins,  veratrum  album. 

Spots:  Blue:  Ledum  p.,  sulphuric  acid.  Brownish: 
Sepia,  thuja  oc.  Confluent:  Belladonna.  Coppery: 
Lachesis,  nitric  acid.  Flea  bite  like  :Aconite,  graphites. 
Bad  in  cold  weather:  Sabadilla.  Scarlet:  Belladonna. 
Whitish:  Sulphur.  Yellow:  Xatrum  phos.  Yellow, 
turning  green  :  Con  in  in  m. 

Eruptions. 

Acute:  Aconite,  arsenicum  album,  belladonna,  bry- 
onia,  helleborus,  laches,  pulsatilla,  rhus  tox.,  stramon- 
cum,  rhus  tox.,  sulphur. 

Asthma  alternate  with  eruptions:  Caladium,  causti- 
cum,  rhus  tox,  sulphur. 

Blisters,  small:  Apis  mel.,  cantharides,  natrum  mur., 
rhus  tox. 

Bluish:  Baptisia,  lachesis,  tarantula  cub. 

Burning:  Argentum  nit.,  arsenicum  album,  capsicum. 
carbo  veg.,  causticum,  kreosotum,  mercurius,  rhus  tox., 
sulphur. 

Callous:  Antimonium  crud.,  chelidonium,  causticum, 
nitric  acid,  thuja  oc. 

Chronic:  Calcium,  graphites,  hepar  sulph.,  lycopod- 
ium,  nitric  acid,  petroleum,  rhus  tox.,  sepia,  silica,  sulphur. 

Cold  air,  appearing  in:  Hyoscyamus,  mercurius,  nitric 
acid,  sassafras,  stramonium. 


REMEDIES  ACTING  ON   CERTAIN  REGIONS  30! 

Cold  air,  receding  in:  Calcium,  laclicsis,  stramonium. 

Copper  colored:  Arsenicum  album,  kreosotum,  nitric 
acid. 

Itching:  Arsenicum  album,  bryonia,  causticum,  mer- 
curius, nitric  acid,  oleander,  rhus  tox.,  sepia,  staphisagria, 
sulphur, 

Painful:  Arsenicum  album,  belladonna,  lachcsis,  ly- 
copodium,  mercurius,  phosphorus,  tarantula  cub. 

Scabby:  Arsenicum  album,  calcium,  cicuta  v.,  dul- 
camara, graphites,  hepar  sulph.,  lycopodium,  mercurius, 
muriatic  acid,  sulphur. 

Scabious:  Mercurius,  sepia,  sulphur. 

Scarlet  color :   Belladonna. 

Yellowish:  Arsenicum  album,  cicuta  v.,  mercurius, 
nitric  acid. 

Eruptions  in  general:  Eruptions,  chronic,  pimples, 
etc.,  especially  of  the  dry  form,  Lloyd's  specific  berberis 
aquifolium  in  5  to  10  drop  doses  3  to  4  times  a  day  in  a 
little  water,  is  a  valuable  remedy.  If  there  is  suppuration 
as  a  general  remedy  Lloyd's  specific  echinacea  and  silica 
6x  are  our  best  remedies.  Where  there  is  involvement 
of  glands  Lloyd's  specific  phytolacca  should  be  added. 
To  enable  the  reader  to  select  the  special  remedy  for  cer- 
tain conditions  outline  is  given  below. 

Arsenicum  album :  Burning  like  fire  mostly  in  dry  or 
scaly  form  although  it  acts  favorably  in  moist  forms  if 
indicated.  Burning  pain.  Aggravation  towards  mid- 
night. Hot  applications  or  heat  ameliorate  burning  pain. 
In  suppressed  eruptions  where  indicated. 

Belladonna :  In  suppression  of  eruptive  diseases,  such 
as  itch,  eczema,  etc.  Old  burns  which  will  not  heal. 
Hi  ere  is  a  sense  of  burning,  rawness,  soreness  and  often 
pain  of  drawing  nature. 

Causticum:  In  suppression  of  eruptive  diseases,  such 
as  itch,  eczema,  etc.  Old  burns  which  will  not  heal. 
There  is  a  sense  of  burning,  rawness,  soreness  and  often 
pain  of  drawing  nature. 

Cicuta  v.:  Pustules  form  with  thick  scabs  of  yellow- 
ish color,  which  become  confluent. 

Graphites :  On  any  part  of  the  body,  but  oftener  on 


3O2  MATERIA   MEDICA  AND  CLINICAL  Til  ERAl'EL'TIC  S 

face,  eyelids,  hands  and  genital  organs.  Generally  crusts 
form,  oozing  a  glutinous  honey-like  fluid.  Eczema  of  the 
eyelids  and  anus.  Slight  abrasions  suppurate  easily. 
Suppressed  eruptions  when  indicated. 

Hepar  sulph. :  Tendency  to  suppuration,  even  small 
abrasions  will  suppurate.  Supersensitiveness  to  touch 
and  cold  air. 

Mercurius  :  Slight  abrasions  suppurate.  Worse  nights, 
especially  after  getting  warm  in  bed,  sweating  aggra- 
vates. 

Natrum  mur. :  Eczema,  tetter,  etc.,  inflamed  and  raw, 
oozing  an  acrid  fluid.  Vesicular  eruptions.  Urticaria. 

Psorium :  Dry  and  scaly,  disappearing  in  summer  and 
returning  in  winter,  itching  worse  when  body  becomes 
warm.  Eruptions  break  out,  disappear  and  appear 
again.  Skin  looks  dirty,  body  has  a  filthy  odor  even  if 
clean.  Suppressed  eruptions  if  indicated. 

Rhus  tox. :  Vesicular  with  restlessness. 

Sepia:  Itching  but  burning  after  scratching,  pus- 
tules, often  of  large  size,  which  continue  to  suppurate. 
Urown  spots  on  face  or  body,  tetter,  etc. 

Sulphur:  Itching,  scratching  ameliorating  but  caus- 
ing burning.  Eruptions  very  red.  The  'person  may  have 
very  offensive  odor  of  the  body.  In  suppressed  eruptions 
it  is  one  of  our  best  remedies  or  in  local  congestion  the 
result  of  suppressed  eruptions. 

Abscesses  and  ulcers  in  general:  Arsenicum  album, 
calcium  sulph.,  graphites,  hepar  sulph.,  kali  bichrom., 
mercurius,  silica. 

If  of  bluish  nature  and  painful:  Lachesis,  tarantula 
cub. 

Condylomata:  Nitric  acid,  staphisagria.  thuja  oc. 

Proud  flesh:  Fluoric  acid,  nitric  acid,  phosphorus  or 
silica. 

Ringworm :  Sepia.  Locally  an  ointment  made  of 
equal  parts  powdered  sulphur,  sanguinaria  root  and  sta- 
phisagria.  with  vaseline  is  a  good  local  application. 

Scabies:  Mercurius,  sepia,  sulphur  or  causticum. 
Locally :  Ointment  made  of  sulphur,  powdered  sangui- 


RK.MKDIKS  ACTING  ON   CKKTA1N   REGIONS  303 

naria  root  and  powdered  staphisagria  seed  with  vaseline 
as  a  base. 

Urticaria:  Apis  mel.,  arsenicum  album,  calcarea  ost., 
hepar  snlph.,  natrum  mur.,  rumex,  rhus  tox. 

THROAT. 

Accumulation  of  mucus  in  throat:  Alum,  ammo- 
nium, carbo  an.,  carbo  veg.,  causticum,  china,  colchicum, 
graphites,  nitric  acid,  pulsatilla,  stannum  met.,  zincum 
met. 

Aphonia  :  Belladonna,  cannabis  ind.,  causticum,  mer- 
curius, phosphorus. 

Choking  in  throat:   Belladonna,  lachesis. 

Cold  weather,  loss  of  voice  in:  Carbo  veg.,  sulphur. 

At  night:  Carbo  an. 

From  overheating:  Antimonium  tart. 

Constriction:  Belladonna,  lachesis,  lycopodium, 
stramonium,  veratrum  album. 

DifBcult  expectoration:  Alum,  ammonium  mur., 
borax,  ferrum  met.,  lachesis,  mercurius. 

Easy  expectoration :  Argentum  nit.,  carbo  veg.,  kali 
sulph.,  natrum  sulph. 

Dryness  of  throat:  Arsenicum  album,  asafoetida,  bel- 
ladonna, bryonia,  china,  cocculus  ind.,  lachesis,  lycopo- 
dium, mercurius,  mix  moschata,  oleander,  petroleum, 
phosphorus,  pulsatilla,  sabadilla. 

Dryness  extending  into  chest :   Lachesis. 

Dryness,  burning,  constant  desire  to  swallow  to  re- 
lieve sense  of  dryness.  Sense  of  constriction:  Bella- 
donna, sabadilla. 

Frequent  necessity  to  swallow:  Helladonna,  causti- 
cum, lachesis,  mercurius,  sabadilla,  staphisagria. 

Gurgling  in  gullet  when  drinking :  Cuprum  met.,  lau- 
rocerasus. 

Hindered  deglutition:  Arnica,  arsenicum  album,  bel- 
ladonna, cantharides,  carbo  veg.,  hyoscyamus,  lachesis. 
Of  solid  food:.  Baptistia,  chamomilla,  rhus  tox.  Of 
liquid  food :.  BeUadonna,  cantharides,  hyoscyamus,  ig- 
natia  am. 

Hoarseness  in  general:  Carbo  veg:  Hoarseness  worse 
in  damp  air,  especially  in  the  evening.  Causticum : 


304  MATKRIA   MEDIC  A  AND  CLINICAL  THERAPEUTICS 

Hoarseness  generally  worse  in  the  morning,  there  is  a 
marked  raw  feeling  in  throat,  sometimes  burning;  very 
hoarse,  even  loss  of  voice  at  times,  clergy  men's  sore  throat. 
Voice  generally  very  deep.  Eupartorium  perf. :  Hoarse- 
ness, especially  in  the  morning  with  soreness  in  chest. 
Phosphorus :  Great  hoarseness,  can  hardly  talk  above  a 
whisper.  Worse  evenings  and  fore  part  of  night.  Spon- 
gea  t. :  Great  hoarseness,  worse  when  talking,  singing 
and  swallowing.  Marked  burning  and  soreness  in  chest. 
If  cough,  it  is  of  a  spasmodic  nature,  worse  after  waking 
up.  Selenium :  A  desire  to  always  clean  throat  of  mucus, 
especially  when  starting  to  talk  loud  or  sing. 

Indistinct  voice:  Causticum,  graphites,  mercurius, 
spongia  t.,  sabadilla. 

Itching  in  throat :  Sambucus  nig. 

Painful  tenderness  and  soreness  in  throat:  IJella- 
donna,  kali  brom.,  lachesis,  phosphorus. 

Rawness  in  throat:  Ammonium  carl).,  arsenicum  al- 
bum, carbo  an.,  carbo  veg.,  causticum,  graphites,  hepar 
sulph.,  hyoscyamus,  sabadilla,  sulphur,  sulphuric  acid. 

Sensation  of  ball  in  throat:  Tgnatia  am.,  lobelia, 
plumbum  acetate.  Dry  sensation :  Bryonja,  rhus  tox., 
stannum  met. 

Sore  throat:  Acute:  Aconite,  apis  mel.,  arsenicum 
album,  belladonna,  bryonia,  dulcamara,  hepar  sulph., 
kali  mur.,  lachesis,  mercurius,  nitric  acid,  phytolacca. 
Chronic:  Baryta  carb.,  carbo  veg.,  causticum,  hepar 
sulph.,  lachesis,  nitric  acid. 

Spasm  of  glottis:  Apis  mel.,  cicuta  v..  gelsemium. 

Spasm  of  larynx :  Cicuta  v.,  cimicifuga,  lobelia. 

Tickling  in  throat :  Lachesis,  nitric  acid,  sanguinaria, 
sulphur. 

Tonsillitis:  Apis  mel.,  kali  mur.,  lachesis,  lac  can- 
inum,  lycopodium,  mercurius,  nitric  acid,  phytolacca. 

Tonsils,  chronic,  enlarged:  Baryta  carb.,  hepar  sulph., 
lycopodium,  plumbum  acetate. 

Tonsillitis,  chronic,  tendency  to':  Baryta  carb.,  hepar 
sulph. 

Uvula,  inflammation  of:  Coffea,  mercurius,  nux  vom- 
ica,  pulsatilla. 


KKMK1HKS  ACTfNC,  ON   CERTAIN  REGIONS  305 

Voice,  variable,  at  times  strong,  others  weak:  Arsen- 
icum  album,  lachesis. 

TONGUE. 

Atrophy  of  tongue:  Muriatic  acid. 

Blisters  on  tongue:  Ammonium  carb.,  cantharides, 
mercurius,  natrum  mur. 

Bluish  tongue :  Arsenicum  album,  digitalis,  sabadilla. 

Brownish  tongue :  Arsenicum  album,  baptisia,  bella- 
donna, bryonia,  muriatic  acid,  sulphur. 

Burning  sensation  on  tongue :  Ammonium  carb., 
carbo  an.,  causticum,  daphne  ind.,  hyoscyamus,  senega. 

Chapped,  cracked:  Belladonna,  chamomilla,  kali  bi- 
chrom.,  magnesium  mur.,  plumbum  acetate,  spigelia, 
veratrum  album. 

Convulsion  or  spasm  of  tongue :  Aconite,  belladonna, 
ruta  g.,  secale  cor. 

Difficult  to  move :  Calcium,  carbo  veg.,  lycopodium, 
mercurius. 

Dirty  tongue :    Bryonia,  lycopodium,  oleander. 

Heat  in  tongue  :   Belladonna. 

Heaviness  of  tongue :  Colchicum,   muriatic   acid. 

Imprint  of  teeth  on  sides :  Arsenicum  album,  cheli- 
donium,  podophyllum,  rhus  tox.,  stramonium. 

Numbness :  Aconite,  arsenicum  album,  belladonna, 
ignatia  am.,  hyoscyamus,  natrum  mur.,  mix  vomica,  pul- 
satilla. 

Paralysis  of  tongue :  Aconite,  cannabis  ind.,  dulca- 
mara, secale  cor.,  stramonium. 

Redness  of  tongue  or  margin  of  tongue :  Arsenicum 
album,  belladonna,  bryonia,  kali  bichrom.,  lachesis,  nux 
vomica,  sulphur,  veratrum  album. 

Sensation  as  if  tongue  was  big :  Pulsatilla. 

Shining  or  glazed  looking  tongue:  Kali  bichrom., 
lachesis. 

Smarting  on  tongue :  Arnica  :  At  night :  Phosphoric 
acid. 

Spots  of  red  color  on  tongue:  Raphan  sat.  nig. 

Thickening  sensation  of  tongue :   Xux  vomica. 

Trembling  of  tongue :  Arsenicum  album,  belladonna, 
gelsemium,  mercurius. 


306  MATF.RJA   MED1CA  AND  CLINICAL  THERAPEUTICS 

Whiteness  of  tongue:  Aconite,  anacardiuin  o.,  arsen- 
icum  album,  berberis  vtil.,  kreosotum,  oleander. 

Coated  Tongue. 

Blackish:  Arsenicum  album,  china,  mercurius,  phos- 
phorus. 

Brownish:  Belladonna,  bryonia,  hyoscyamus,  phos- 
phorus, sabina,  silica,  sulphur. 

Dark  streak  in  center,  typhoid  tongue:  Arnica,  bap- 
tisia,  muriatic  acid. 

Dirty:  Bryonia,  lycopodium,  oleander. 

Grayish:  Kali  mur.,  pulsatilla,  tartaricum. 

Greenish :  Plumbum  acetate. 

Semilateral  coating:  Daphne  ind.,  lobelia. 

Slimy  coat:  Belladonna,  china,  digitalis,  dulcamara, 
mercurius,  natrum  mur.,  mix  vomica,  pulsatilla,  secale 
cor.,  sulphur. 

Thick  coated :  Belladonna,  bryonia,  mercurius,  phos- 
phorus, pulsatilla,  sabadilla. 

White,  a  thick  layer  of  white  on  tongue :  Antimonium 
crtid. 

White  in  general:  Arnica,  belladonna,  carbo  veg., 
chamomilla,  china,  digitalis,  ignatia  am.,  ipecac,  mercur- 
ius, nux  moschata,  mix  vomica,  oleander,  phosphorus, 
sulphur,  tartaricum. 

Yellow:  Belladonna,  bryonia,  carbo  veg.,  chamomilla, 
china,  colocynthis,  ipecac,  kali  bichrom.,  kali  sulph.,  lach- 
esis,  nux  vomica,  phosphorus,  plumbum  acetate,  pulsa- 
tilla, sabadilla,  sulphur. 

UPPER   EXTREMITIES. 

Coldness  of  upper  extremities:  Belladonna,  carbo  an., 
carbo  veg.,  veratrum  album. 

Contraction  of  tendons  of  hands  and  fingers:  Catis- 
ticum,  sulphur. 

Cramps  in  arms:  Belladonna,  causticum,  lycopodium, 
secale  cor. 

Cramps  in  hands  :Belladonna,  calcium,  causticum,  se- 
cale cor. 

Cramps  in  fingers :  Calcium,  cannabis  ind.,  stannum 
met. 


REMEDIES  ACTING  ON  CKKTAIN  KKdloNS  307 

Drops  things,  cannot  hold  fast,  drops  thing's  without 
knowing  it:  Bovista,  apis  mel. 

Hands  hot  and  cold  alternating :  Cocculus  incl.  Burn- 
ing in  hands :  Phosphorus,  sanguinaria,  secale  cor.  Cop- 
per colored  patches  on  or  in  hands :  Nitric  acid.  Heat 
in  hands :  Aconite,  cocculus  incl.,  ledum  p.,  lycopodium. 
murex  p.,  phosphorus,  staphisagria. 

Jerking  in  upper  extremities:  Belladonna,  bryonia, 
cocculus  incl.,  lycopodium. 

Numbness  of  upper  extremities :  Aconite,  chamo- 
milla,  .crocus  sativus,  ignatia  am.,  mix  vomica.  Numb- 
ness when  grasping  an  object :  Chamomilla. 

Paralysis  of  hands  or  wrist:  Ferrum,  mercurius, 
plumbum  acetate,  ruta  g.,  silica. 

Of  arms :  Calcium  phos.,  cocculus  incl.,  phosphorus, 
sepia. 

Trembling  of  upper  extremities  in  general :  Gelsein- 
iuni,  kali  brom.,  phosphorus,  silica. 

Trembling  of  hands:  Calcium,  lachesis,  phosphorus, 
sulphur,  stramonium,  tabacum,  zincum  met. 

Trembling  of  fingers :  Bryonia,  iodium,  oleander,  rhus 
tox. 

Trembling  of  hands  of  drunkards:  Arnica,  lachesis, 
sulphur. 

Trembling  when  holding  anything :  Coffea,  phos- 
phorus. 

Ulceration  of  nails:  Mercurius. 

White  spots  on  nails :  Nitric  acid. 


LEADING  BASIC  INDICATIONS 

For 
SOME  DRUGS  IN  THEIR  PRIMARY  FORM. 

Alcohol,  Bad  Effects  from:  Such  as  spasmodic  hic- 
cough, delirium  tremens  we  find  ranunculus  bulbosus  a 
good  remedy.  Bad  effects  of  drunkenness  in  light  com- 
plected people  lobelia  is  a  good  remedy.  In  dark  com- 
plected, nux  vomica. 

Anaemia :  Ferrum  met.  or  acetate :  Color  grayish  and 
in  some  cases  grayish  green.  The  least  exertion  or  ex- 
citement causes  a  rush  of  blood  to  the  head.  Kali  carb : 
The  patient  is  greatly  debilitated,  especially  at  the  age 
of  puberty.  Pain  and  great  weakness  in  the  back.  Skin 
is  of  a  milky  white  or  watery  color,  puffing  of  upper  eye- 
lids, often  with  a  tendency  to  dropsy  on  account  of  lack 
of  red  blood  corpuscles.  Natrum  mur. :  Gets  exhausted 
from  the  least  exertion.  Although  patient  eats  well,  will 
grow  poorer  and  poorer.  There  is  marked  depression. 
Headache  of  throbbing  nature.  There  may  be  palpita- 
tion or  fluttering  of  the  heart.  Menstruation  scanty.  Al- 
though depression  is  marked  does  not  want  to  be  con- 
soled. Other  remedies  that  act  favorably  in  anaemic  con- 
ditions are  calcium  phos.,  helonias,  phosphorus,  pulsa- 
tilla. 

ANTI  REMEDIES. 

Antipsoric  Remedies:  Causticum,  graphites,  psorium, 
sulphur. 

Antisycotic  Remedies:  Xitric  acid,  sabina,  staphis- 
agria,  thuja  o. 

Antisyphilitic  Remedies:  Mercurius,  nitric  acid. 

APPETITE. 
Craving  for  certain  food,  etc. : 

Acid  things:  Calcium,  hepar  sulph.,  veratrum  album. 

Bread  and  butter:  Ferrum  acetate,  ferrum  met. 

Eggs :  Calcarea  ost. 

Ham  rind :  Calcium  phos. 

Matches :  Sulphur. 

Meat,  in  scrofulous  children:  Magnesium  carb. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM          309 

Salt  or  salty  food:  Causticum,  natrum  mur.,  phos- 
phorus. 

Starch,  charcoal,  etc.,  in    anaemic    subjects:  Alumina. 

Sugar:  Argentum  nit. 
Hunger  and  relief  from  eating : 

Acetic  acid :  Hunger,  eats  well,  still  loses  flesh. 

Anacardium  o.  :Pain  comes  on  a  few  hours  after  eat- 
ing and  eating  then  gives  some  relief.  Pain  extending  to 
spine  with  an  all-gone  sensation. 

Chelidonium :  Hunger,  eating  relieves  pain  in  stom- 
ach if  there  are  liver  symptoms. 

China :  Full,  oppressed  feeling,  eructations  do  not  re- 
lieve. Still  there  is  canine  hunger. 

Ferrum  met.  or  acetate :  Canine  hunger,  alternate 
with  complete  loss  of  appetite.  Regurgitation  of  food 
after  eating. 

lodium :  Feels  relieved  after  eating  or  while  eating, 
canine  hunger,  but  grows  poor.  Wants  to  eat  all  the 
time,  feels  only  good  after  eating  or  while  stomach  is 
filled. 

Lycopodium :  Feels  hunger  but  the  first  few  mouth- 
full  make  patient  feel  filled  up. 

Natrum  mur. :  Is  hungry  but  loses  flesh.  Feels  dull 
after  eating,  with  a  sense  of  fulness  in  liver  and  stomach 
until  digestion  has  advanced. 

Nux  vomica :  Pain  in  stomach  2  or  3  hours  after  eat- 
ing, when  digestion  is  over. 

Petroleum :  Pain  in  stomach  relieved  by  eating. 

Phosphorus :  Faint  feeling,  must  eat  often  to  stop 
faint  feeling. 

Repugnance  or  aversion  to  certain  food : 

Beer:  Asafoetida,  belladonna,  china,  mix  vomica,  pul- 
satilla. 

Brandy :  Tgnatia  am. 

Broth:  Arnica. 

Cold  water:  Caladium,  china,  mix  vomica,  stramon- 
ium, tabacum. 

Fat  food :  Carbo  an.,  carbo  veg.,  hepar  sulph.,  na- 
trum mur.,  petroleum. 

Fish :  Zincum  met. 


3IO  MATKRTA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Hot  food:  Calcium,  cuprum,  graphites,  ignatia  am., 
lycopodium,  mercurius,  petroleum,  silica,  vcratrum  al- 
bum, zincum  met. 

Hot  water:     Kali. 

Meat:  Colchicum,  drosera,  zincum  met. 

Milk:  Ammonium  carb.,  belladonna,  ignatia  am.,  na- 
trum,  mix  vomica,  pulsatilla,  sepia,  snlplmr. 

Mother's  milk:  Cina,  mercurius,  silica,  stannum  met. 

Potatoes :  Alumina. 

Salt  food :  Graphites,  selenium. 

Sweet  food :  Graphites. 

Vegetables,  green:  Helleborus  n.,  magnesium. 
Suffering  from  certain  food,  etc. : 

Acid  taste  after  eating,  but  especially  after  bread : 
Nitric  acid. 

Acid  food,  suffering  from,  after  taste:  Natrnm  mur. 

Bread:  Pulsatilla. 

Butter:  Carbo  an.,  carbo  veg.,  pulsatilla. 

Eggs,  nausea  from  :  Colchicum. 

Fat  food:  Pulsatilla,  sulphur. 

Fat  food,  sour  regurgitation  from:  Calcium,  carbo 
veg.,  ferrum  acetate,  lycopodium. 

Fat  food,  acid  taste  from:  Ambra  g.,  carbo  veg.,  lyco- 
podium, sulphur. 

Milk:  Chelidonium,  nitric  acid,  sulphur. 

Milk,  distention  from :  Carbo  veg. 

Potatoes :  Alumina. 

Salt  food :  Carbo  veg. 

Tea:  Ferrum,  selenium,  thuja  oc. 

During  meal  suffering  with  pain  in  abdomen:  Arsen- 
ic um  album.  Suffering  with  pain  in  chest :  Ledum  p., 
magnesium  mur.  Cloudiness  of  sight:  Xatrum  sulplv. 
Distention:  Con  him  m.  Dizziness:  Ammonium  carl)., 
oleander.  Eructations:  Natrum,  oleander,  sassafras. 
Hungry  when  eating:  Veratrum  album.  Nausea:  Bar- 
yta carb.,  belladonna,  causticum,  cicuta  v.,  cocculus  ind., 
colchicum,  digitalis,  ferrum,  kali,  magnesium,  mix  vom- 
ica, ruta  g.,  veratrnm  album. 

During  meal,  nausea  with  inclination  to  vomit :  Coc- 
culus ind.,  ferrum  acetate  or  met.  Pain  in  the  stomach 
which  compels  to  eat :  Graphites.  Pain  in  the  stomach 


P.ASIC  INDICATIONS  FOR  DRIT.S   IX   PRIMARY  FORM  3IT 

relieved  from  eating  food  cold :  Phosphorus.  Pain  in 
the  stomach :  Arnica,  cicuta  v.,  conium  m.,  sepia,  vera- 
trum  album. 

Suffering  from  late  suppers :  China. 

Suffering  from  fruit:  Borax  v.,  bryonia,  carbo  veg., 
china,  magnesium  mur.,  natrum,  pulsatilla,  selenium, 
silica,  veratrum  album. 

Suffering  from  raw  food :  Ruta  g. 

Suffering  right  after  eating:  China,  kali  bichrom.,  ni- 
tric acid. 

Bitter  taste,  or  bitter  taste  of  food :  Bryonia,  cham- 
omilla,  chclidonium,  china,  colocynthis,  mix  vomica,  pul- 
satilla, sabina. 

Bloating  after  eating,  so  much  so  as  to  oblige  patient 
to  loosen  clothes:  Calcium,  lachesis,  lycopodium. 

Bread  and  butter  agree,  meat,  beer  and  tea  disagree: 
China,  ferrum  acetate. 

Bread  and  butter  disagree,  and  meat  agrees:  Xatrum 
mur. 

Cachetic  people  when  the  vital  powers  have  become 
very  weak,  plainest  food  cannot  be  tolerated,  but  fat 
food  the  least,  we  think  of  carbo  veg. 

Fullness  of  abdomen  with  heat  and  great  distention 
right  after  eating  a  little,  appears  as  if  everything  turns 
into  gas,  feels  as  if  it  would  burst,  great  sensitiveness 
to  touch  of  abdomen  :  Kali  carl).,  mix  moschata. 

Obstructed  respiration  while  eating:  Magnesium 
mur.,  sulphur. 

Perspiration  at  meals:  Carbo  an.,  carbo  veg.,  natrum 
mur.,  nitric  acid. 

Perspiration  after  meals:  Conium  in.,  nitric  acid, 
sepia. 

Putrid  eructations :  Ruta  g. 

Regurgitation  of  food  with  burning  in  gullet:  Ci- 
cuta v. 

Throbbing  or  trembling  in  body:  Lycopodium. 

BREATH. 

Cold :  Camphor,  tartar  emetic,  veratrum  album. 

Hot:   Manganese,  natrum  mur. 

Offensive:    In  young  girls   at  puberty:  Auriiin   met.. 


312  MATERTA   MEDICA  AND  CLINICAL  TH  EKAI'KJJTICS 

belladonna,  hyoscyamus,  pulsatilla,  sepia,  spigelia  ant., 
sulphur. 

Odor  offensive  in  the  morning  only :  Arnica,  bella- 
donna, mix  vomica,  silica,  sulphur.  Offensive  after  meals 
only :  Chamomilla,  nux  vomica,  sulphur.  Offensive 
evenings  or  at  night:  Pulsatilla,  sulphur.  Offensive  from 
abuse  of  mercury:  Aurum  met.,  carbo  veg.,  lachesis,  sul- 
phur. 

Breath  stopping  when  falling  asleep,  nervous  origin: 
Grindelia  r.,  lachesis.  Same  from  heart  trouble:  Digi- 
talis. 

Frequent  desire  for  long  breath:  Brvonia,  cactus,  ig- 
natia  am.,  natrum  mur. 

BURNING  REMEDIES. 

Apis  mel. :  Burning  with  stinging. 

Arsenicum  album:  Burning  ameliorated  by  heat.  Es- 
pecially in  acute  conditions. 

Cantharides :  Burning,  cutting  pains.  Violent  burn- 
ing pain,  especially  in  gastro-intestinal  tract  from  mouth 
to  anus,  with  great  thirst. 

Capsicum:  Burning  not  relieved  by  heat.  Burning 
as  if  red  pepper  was  on  mucous  surfaces. 

Causticum :  Burning  with  soreness. 

Chamomilla:  Burning  of  feet,  if  otherwise  indicated. 

Phosphorus:  Burning  hands  or  burning  feeling,  if  in- 
dicated. 

Secale  cornutum :  Burning  but  objectively  cold;  cov- 
ering cannot  be  tolerated,  especially  of  feet.  May  be 
numbness  or  paralysis.  Burning  of  all  parts  of  the  body 
as  if  sparks  were  falling  on  it. 

Sulphur :  Of  feet  or  any  part  of  body,  especially  in 
chronic  cases. 

CHILLS. 

Begin  between  scapulae:  Capsicum,  sepia. 

Begin   in   dorsal   region :  Eupatorium   perf.,   lachesis. 

Begin  in  lumbar  region :  Eupatorium  purp.,  natrum 
mur. 

Run  up  and  down  spine  from  sacrum  to  occiput  in 
wave-like  succession :  Gelsemium. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  313 

From  7  to  9  A.  M.  Intense  aching  in  bones  before 
chill.  Vomiting  of  bile  between  chill  and  heat:  Eupator- 
ium  perf. 

Irregular;  thirst  is  intense  during  the  hot  stage,  but 
little  is  drunk  at  a  time :  Arsenicum  album. 

Persistent  nausea  all  the  time:  Ipecac. 

With  red  face,  decreased  by  external  heat,  thirst  dur- 
ing chill;  sighs  often:  Ignatia  am. 

Cannot  uncover  during  the  heat  without  getting 
chilled :  Nux  vomica. 

From  i o  to  ii  A.  M.  headache  bursting,  during  heat; 
sweat  relieves :  Natrum  mur. 

Sleeplessness  during  the  hot  stage  and  sweat,  face 
pale :  Antimonium  tart. 

Appear  about  3  P.  M. :  Apis  mel.  4  P.  M. :  Lycopod- 
ium.  i  to  2  P.  M.  or  A.  M. :  Arsenicum  album. 

Creeping  chilliness,  especially  at  night;  after  taking 
cold:  Mercurius. 

COLD. 

Cold  air  aggravates  or  brings  about  conditions:  Ac- 
onite, arsenicum  album,  calcarea  ost.,  capsicum,  chamo- 
milla,  china,  dulcamara,  hepar  sulph.,  mix  vomica,  plum- 
bum, psorium,  silica,  tnberculinum. 

Cold  applications  give  relief:  Apis  mel.,  pulsatilla,  to 
some  extent,  belladonna,  mercuritis,  sabina. 

Cold  applications  aggravate  condition :  Arsenicum  al- 
bum, bryonia,  magnesium  phos.,  mix  vomica,  rhus  tox. 

Cold  air  gives  relief:  Pulsatilla,  sabina,  secale  cornu- 
tum. 

Cold  drinks  agree  better  than  hot  drinks:  Phos- 
phorus, pulsatilla. 

Feel  better  in  the  open  or  cold  air:  Aconite,  baryta 
carb.,  graphites,  phosphorus,  platina,  pulsatilla,  rhus  tox., 
sabina. 

Feel  worse  in  the  open  or  cold  air :  Ammonium,  bella- 
donna, bryonia,  chamomilla,  cocculus  ind.,  conium  m., 
hepar  sulph.,  ignatia  am.,  lachesis,  mercurius,  nitric  acid, 
mix  vomica,  selenium,  silicia  spigelia,  stramonium,  vera- 
trum  album. 


MATERIA   MEDICA  AND  CLINICAL  THERAPEUTICS 

DREAMS. 

Of  things  or  matter  all  forgotten:  Selenium. 

Of  business  of  the  day :  Bryonia,  cicuta  v.,  lycopo- 
clium,  nitric  acid,  mix  vomica,  phosphorus,  pulsatilla, 
rhus  tox.,  selenium. 

Dreaming  continues  after  apparently  being  awake: 
Calcium,  china,  natrum  mur. 

Singing  when  asleep:  Belladonna,  crocus  s.,  phos- 
phoric acid. 

Somnambulism:  Bryonia,  kalmia  1.,  natrum  mur., 
phosphorus,  silica,  sulphur. 

Screaming  during  sleep:  Apis  mel.,  belladonna,  cina, 
mix  moschata,  rhus  tox. 

Snoring  and  talking  when  asleep:  Arnica,  arsenicum 
album,  belladonna,  calcium,  carbo  an.,  carbo  veg.,  chamo- 
milla,  kali  bichrom.,  mercurius,  muriatic  acid,  natrum 
mur.,  nitric  acid,  mix  vomica,  phosphorus,  phosphoric 
acid,  pulsatilla,  rhus  tox.,  sabina,  sepia,  silica,  sulphur, 
zinctim  met. 

Nightmares :  Aconite,  mix  vomica,  pulsatilla,  ruta  g., 
silica,  sulphur,  valerian. 

Laughs  during  sleep:  Alum,  causticum,  lycopodium. 

DRY   AIR  REMEDIES. 

Conditions  brought  about  or  aggravated  by  dry,  cold 
air:  Aconite:  Fevers  and  inflammation  as  a  result. 
Causticum :  Worse  in  dry  and  better  in  damp  weather. 
Hepar  sulph. :  Hypersensitive  to  cold  air  and  wind. 

EMACIATION. 

Abrotanum :  Emaciates  from  below  upwards,  legs 
particularly. 

Argentum  nit. :  Child  looks  dried  up  like  a  mummy. 

lodium :  Emaciates  generally,  wants  to  eat  all  the 
time. 

Lycopodium :  Emaciates  from  above  downwards. 

Natrum  mur. :  Eats  well  and  emaciates  all  the  time, 
neck  particularly,  emaciates  from  above  downward. 

^Sarsaparilla :  Neck  emaciates  and  skin  generally  lies 
in  folds. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  315 

EXPECTORATION. 

Taste : 

Acid  taste :  Carbo  animalis,   nitric  acid,   pulsatilla. 

Bad  taste :  Carbo  veg.,  chamomilla. 

Bitter  taste :  Bryonia,  chamomilla,  mercurius,  natrum 
snlph.,  nitric  acid,  pulsatilla. 

Herby  taste:  Borax  v. 

Nauseous  tasting :  Arsenicum  album,  stannum  met., 

Salty  taste :  Kalmia  1.,  natrum  mur.,  phosphorus, 
sepia.  In  pneumonia,  kali  iodide. 

Sour  taste :  Calcarea  carb.,  iris  v.,  lachesis,  nitric  acid, 
mix  vomica,  phosphorus,  phosphoric  acid,  zincum  met. 

Sweetish  taste :  Calcium  phos.,  phosphorus,  sambu- 
cus  nig.,  stannum  met. 

Color : 

Gray:  Ambria  g.,  lycopodium,  sepia,  thuja  oc. 

Green :  Cannabis  s.,  carbo  veg.,  ferrum,  kali  sulph., 
pulsatilla,  stannum  met.,  thuja  oc. 

Pus  color:  Calcarea  carb.  (echinacea  tincture),  kali 
iodide,  phosphoric  acid,  phosphorus,  silica,  staphisagria. 

Transparent:  Arsenicum  album,  china,  ferrum  mur. 

White:  Aconite,  ambra  g.,  ammonium  mur.,  argen- 
tum  nit.,  china,  cina,  cuprum  met.,  kreosotum,  lycopo- 
dium, phosphorus,  rhus  tox.,  sepia,  silica,  spongia  t.,  sul- 
phur. 

Yellow :  Bryonia,  calcarea  carb.,  conium  m.,  daphne 
ind.,  kali  sulph.,  kreosotum,  nitric  acid,  phosphorus,  pul- 
satilla, sulphur,  veratrum  album. 

Nature : 

Cool :  Phosphorus,  sulphur. 

Foamy:  Phosphorus,  plumbum  acetate,  silica. 

Frothy :  Arsenicum  album,  ferrum,  daphne  ind.,  lach- 
esis. 

Globules  or  little  balls :  Argentum  nit.,  manganese, 
thuja  oc. 

Glue   nature:  Digitalis. 

Hardened :  lodium. 

Hot :  Hot  water  coming  up  :  Daphne  ind. 


3l6  MATERIA   MvEDlCA  AND  CLINICAL  THERAPEUTICS 

Liver  colored:  Graphites,  lycopodium,  pulsatilla,  se- 
pia, stannum  met. 

Slimy :  Argent  urn  nit.,  arsenicum  album,  belladonna, 
china,  mercurius,  phosphorus,  pulsatilla,  silica,  stannum 
met.,  zincum  met. 

Thick:  Argentum  nit.,  lycopodium,  phosphorus, 
stannum  met.,  sulphur,  zincum  met. 

Tickling:  Causticum,  sanguinaria. 

Tough:  Alum,  arsenicum  album,  cannabis  s.,  carbo 
veg.,  causticum,  chamomilla,  dulcamara,  iodium,  phos- 
phorus, sambucus  n.,  sepia,  stannum  met.,  zincum  met. 

Watery:  Argentum  nit.,  daphne  ind.,  magnesium,  na- 
trum  mur.,  stannum  met. 

Blood,  expectoration : 

Black:  Nitric  acid. 

Bloody  streaks  with :  l>orax  v.,  bryonia,  china,  daphne 
ind.,  ferrum,  laurocerasus,  sabina. 

Pure  coagulated:     Sepia. 

Bright :  Ammonium   carb.,   ipecac,   rhus  tox.,   sabina. 

Hawking  expectoration :  Argentum  nit.,  calcium, 
carbo  an.,  causticum,  cina,  kali  carb.,  lycopodium,  phos- 
phorus, rhus  tox.,  stannum  met.,  staphisagria,  sulphur. 

Profuse  and  frequent :  Daphne  ind.,  euphrasia,  fer- 
rum, hepar  sulph.,  iodium,  laurocerasus,  lycopodium,  pul- 
satilla, ruta  g.,  sambucus  nig.,  senega,  sepia,  stannum 
met.,  silica,  sulphur,  veratrum  album. 

Odor,  offensive:  Arsenicum  album,  calcarea  carb., 
capsicum,  ledum  p.,  sanguinaria,  sepia,  stannum  met., 
sulphur. 

FAT  PEOPLE. 

Remedies  acting  on :     Calcarea  carb.,  calcarea  ost. 
FEAR  IN  SICKNESS. 

Of  Solitude:  Lycopodium,  stramonium.  Of  contag- 
ious disease:  Calcium.  Of  losing  reason:  Calcium, 
mercurius.  Of  death:  Aconite,  platina,  raphan  sat.  nig. 
To  be  left  alone  in  the  dark  or  storm :  Phosphorus. 

FEELING  HURRIED. 

Mostly  in  uterine  troubles :  Argentum  nit.,  and  tiger 
lily.  Often  in  other  conditions  also :  Argentum  nit. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  3I/ 

FEVERS  AND  INFLAMMATION  IN  GENERAL. 

Aconite:  In  inflammatory  fevers,  especially  in  the 
early  stage.  Acute  inflammatory  conditions,  result  of 
dry,  cold  air.  Skin  hot  and  dry ;  there  is  thirst  and  great 
restlessness  with  fear  and  often  fear  of  death. 

Antimonium  crud. :  Gastric  fevers,  worse  at  night 
with  marked  thirst  with  the  characteristic  milky  coat  or 
thick  layer  on  the  whole  tongue. 

Arsenicum  album :  In  acute  conditions  and  especially 
in  the  latter  stage  when  patient  is  weak  and  feels  help- 
less. Is  restless  but  too  weak  to  move  and  for  that  reason 
wants  to  be  moved  all  the  time.  Fear  with  hopelessness. 
Burning  feeling  and  symptoms  and  fear  worse  towards 
midnight,  say  from  about  n  P.  M.  to  2  A.  M.  Thirst, 
wants  to  drink  often,  but  only  little  at  a  time. 

Belladonna :  Head  hot  and  face  red,  throbbing  caro- 
tids, marked  restlessness.  Comes  on  suddenly  as  a  rule. 
Starts  up  suddenly  in  sleep,  rolls  around,  jerks  and  often 
becomes  actively  delirious. 

Chamomilla:  Sensitive  to  pain,  numbness,  restless- 
ness, ugly  aggressive  mood.  These  are  more  often  found 
in  children  at  the  time  of  dentition.  Stool  may  be  green. 
In  these  cases  it  is  a  valuable  adjunct  to  other  indicated 
remedies. 

Ferrum  phos. :  In  the  first  stage  of  acute  disease  to 
control  the  circulation,  it  is  one  of  our  best  remedies. 

Melilotus :  Intense  redness  of  face,  throbbing  caro- 
tids, symptoms  are  ameliorated  by  epistaxis.  This  is  es- 
pecially the  case  in  certain  forms  of  congestion  of  the 
brain. 

Nux  vornica :  In  fevers  or  feverish  conditions  where 
there  is  a  good  deal  of  heat.  Whole  body  burning  hot, 
but  especially  the  face  very  red  and  hot,  still  patient  can- 
not move  or  be  uncovered  in  the  least  without  feeling 
chilly  or  chilled. 

Congestion,  passive:  Chronic  and  local  the  result  of 
suppression  of  eruptions:  Sulphur. 

Congestion  in  general:  Gelsemium,  glonoine,  ferrum 
phos.,  kali  iodide,  melilotus,  phosphorus. 


MATERIA   MEDICA  AND  CLINICAL  THERAPEUTICS 

FIDGETY  REMEDIES. 

Although  they  act  in  general  condition,  as  a  rule  the 
condition  is  marked  in  parts  mentioned  : 
Kali  brom. :  Of  upper  extremities. 
Phosphorus :  All  over. 
Zincum  met. :  Of  lower  extremities. 

FLATULENCE. 

Accumulation  in  epigastrium :  Carbo  veg.,  graphites, 
lycopodium,  natrum  mur.,  mix  vomica. 

Hypochondrium :  Chamomilla,  lycopodium,  mix  vom- 
ica. 

Hypogastrium :  Aconite,  china. 

Inguinal  region :  Chamomilla,  lachesis. 

After  eating,  acid  diet:  Phosphoric  acid.  Fat  or 
pork:  China,  pulsatilia.  Gas  producing  food,  in  general: 
China. 

After  drinking:   Xux  vomica. 

Leaning  forward    ameliorates    suffering:   Belladonna. 

Movement  aggravates  suffering:  Xatrum,  nitric  acid. 

Flatulence  with  headache:  Calcium  phos. 

Contraction  of  intestines  :  China. 

Flatus  incarcerated:  Calcium,  cantharides,  carbo  an., 
iodium,  kali,  natrum  mur.,  nitric  acid,  mix  vomica,  phos- 
phorus, primus,  sulphur. 

Flatus  putrid:  Arsenicum  album,  caladium,  carbo 
veg.,  oleander,  zincum  met. 

Flatus  cold  :  Con  him  m. 

Flatus  hot:  Plumbum  acetate,  staphisagria,  zincum 
met. 

Flatus  fetid:  China,  ferrum,  magnesium. 

Odor  of  rotten  eggs :  Arnica. 

Flatulence     ameliorated     on     lying     down:  Ferrum. 

Aggravated  on  lying  down:  Belladonna,  phosphorus. 

External  pressure  ameliorates  :  .Colocynthis,. .  helle- 
borus  n.,  magnesium  phos. 

Rumbling  of  flatus,  especially  in  right  ileo-cecal  re- 
gion :  Natrum  sulph.  In  left  spleenic  flexure  of  colon : 
Lycopodium. 


P.ASIC:  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  319 

Rumbling  of  flatus  especially  in  right  hypochondrium : 
Podophyllum. 

Upper  abdomen  especially  very  much  bloated :  Carbo 
veg. 

Whole  abdomen  bloated:  China. 

Lower  abdomen  bloated.  Hungry,  but  after  first 
mouthful  feels  distressingly  full :  Lycopodium. 

Abdomen  enormously  distended  while  eating  or  right 
after:  Nux  moschata. 

Pain  and  distress  immediately  after  eating:  Kali  bi- 
chrom. 

Flatus,  radiating  pains  all  over,  passing  flatus  does 
not  give  much  relief.  Worse  at  midnight.  Great  disten- 
tion  of  abdomen.  May  be  a  sensation  as  if  sticks  were 
in  abdomen  :  Cocculus  ind. 

Fright,  effect  of:  Aconite,  ignatia  am.,  opium,  vera- 
trum  album. 

HEADACHE. 

Aconite:  Valuable  adjunct  to  other  indicated  reme- 
dies, if  from  dry  cold. 

Antimonium  crudum :  If  from  cold  baths  this  is  a 
good  adjunct  to  other  indicated  remedies. 

Belladonna:  Neuralgic  or  congestive  headache,  worse 
stooping,  bending  forward,  lying  down  or  turning  eyes. 
Ameliorated  bending  or  throwing  head  backwards  and 
in  the  vertical  position.  Violent  headache  with  throb- 
bing and  determination  of  blood  to  the  head,  face  red 
and  hot;  although  face  may  be  pale.  Worse  from  hair 
cutting  or  having  head  uncovered. 

Bryonia :  Bursting  headache,  which  feels  as  if  head 
would  burst.  Motion  of  eyes  or  head,  hot  weather  or 
rising  from  horizontal  position  aggravate :  lying  still 
ameliorates.  Headache  may  be  preceded  by  vertigo. 
Pains  may  be  shooting,  stitching  in  small  spots  or  boring. 

Calcium  phos. :  Headache  in  anaemic  subjects.  In 
girls  at  the  age  of  puberty.  Headache  in  school  children 
and  the  old.  Ameliorated  lying  down. 

Capsicum:  Severe  pain  in  head  when  coughing,  as 
if  the  head  would  burst. 


32O  MATERIA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Causticum :  Neuralgic,  with  pain  of  a  drawing-  nature, 
with  soreness,  especially  in  vertex,  if  indicated.  Worse 
in  the  morning  and  open  air.  Pain  may  be  shooting, 
stitching.  Easier  in  dark  room. 

China:  With  heat  in  head  at  night.  Throbbing  head- 
ache. Worse  after  heavy  or  late  supper. 

Cimicifuga:  With  pressing  pain  as  if  top  of  head 
would  come  off.  Ciliary  neuralgia. 

Cocculus  ind. :  Sick  headache  which  is  accompanied 
by  nausea  and  sometimes  vomiting.  Headache  precedes 
nausea.  Worse  when  rising  from  horizontal  position, 
and  from  riding,  boating,  on  the  sea,  etc.  Cold  air  amel- 
iorates. 

Coffea  cruda :  One  sided  headache.  Pain  as  if  a  nail 
was  driven  through  side  of  head. 

Colocynthis:  Violent  headache,  worse  lying  down,  es- 
pecially when  lying  on  back.  Neuralgic  headache. 

Dulcamara:  Valuable  adjunct  to  other  remedies,  if 
result  of  cold. 

Epigaea  repens :  Headache  from  overwork  or  over- 
study,  excitement,  etc.  Comes  on  when  worn  out  or 
tired  out. 

Gelsemium:  Nervous  headache  with  prostration. 
Sick  headache  preceded  by  blindness.  There  is  little 
or  no  nausea  and  seldom  vomiting  but  patient  feels  weak 
and  trembling.  Pain  in  headache  of  gelsemium  starts 
in  occiput  and  from  there  spreads  over  the  head  ;  is  ag- 
gravated by  lying  with  head  low,  by  motion,  mental  ex- 
ertion and  smoking.  Lying  still  and  with  head  raised 
ameliorates.  Profuse  urination  often  gives  relief. 

Glonoine :  Throbbing  headache  with  red  face  and 
throbbing  carotids;  cannot  bear  to  have  head  covered; 
least  jar  aggravates.  Sun  headache  or  headache  from 
sunstroke  or  when  overcome  by  heat  and  especially  by 
the  heat  of  the  sun.  Feels  as  if  hair  should  be  cut  short. 

Helleborus  niger :  Headache  with  coryza  with  4  to  9 
P.  M.  aggravation.  Lying  dowrn  ameliorates. 

Ignatia  am.:  Nervous  and  one  sided  headache,  gener- 
ally with  sensation  as  if  a  nail  was  driven  through  side 
of  head.  Lying  down  will  often  ameliorate.  Very  often 
indicated  in  hysterical  subjects. 


MASK:  INDICATIONS  FOR  nurns  IN  PRIMARY  FOKM         321 

Ipecac:   With  persistent  nausea. 

Iris  v. :  Sick  headache  which  generally  starts  with  a 
blur  before  the  eyes.  Burning  in  the  mouth,  nausea  and 
vomiting  of  sour,  stringy  mucus,  in  exceptional  cases  it 
is  watery  and  bitter. 

Kali  bichrom. :  Headache  is  preceded  by  blindness, 
when  the  latter  subsides  the  former  begins.  Headache 
then  settles  in  one  spot  and  is  generally  very  severe. 
Blind  and  sick  headache. 

Kalmia  1. :  Neuralgic  right  sided  headache.  Pain  in 
eyes  worse  on  turning,  sense  of  stiffness,  at  times  numb- 
ness. 

Lac  defloratum :  Sick  headache  beginning  in  forehead 
and  extending  to  back  of  head  to  occiput.  Nausea  and 
vomiting,  especially  when  rising  in  the  morning,  blind 
headache  with  throbbing.  Despondent. 

Lachesis:  Worse  when  awakening  from  sleep;  sleeps 
into  headache.  Headache  from  heat  of  sun,  especially  if 
chronic. 

Lycopodium :  Congestive  headache  aggravated  by  ly- 
ing down,  if  indicated. 

Magnesium  phos. :  Neuralgic  headache.  Heat  and 
pressure  ameliorate. 

Melilotus :  Congestive  headache,  face  very  red  and 
throbbing  carotids.  Epistaxis  ameliorates  headache. 

Mercurius:  Pain  shooting,  boring,  stitching  or  tear- 
ing, relieved  by  cold  applications,  worse  nights.  Sweat- 
ing does  not  ameliorate  but  may  aggravate. 

Natrum  carb. :  Headache  worse  in  sunlight  and  from 
mental  exertion,  generally  with  depression. 

Natrum  mur. :  Headache  of  anaemic  school  girls  and 
at  the  start  of  menses  in  such.  Chronic  headache  comes 
on  in  paroxysms,  face  more  pale  although  it  may  be 
red  ;  in  anaemic  patients.  Headache  is  of  throbbing  na- 
ture. 

Nitric  acid  :  Shooting,  tearing  or  throbbing  headache  ; 
in  occiput,  vertex  or  frontal  region,  generally  worse 
towards  evening  and  nights.  Sick  headache. 

Nux  vomica :  Headache  aggravated  by  mental  exer- 
tion, anger,  sour  stomach,  stooping,  from  light,  noise, 


322  MATEKTA   MEDICA  AND  CLINICAL  THERAPEUTICS 

coughing-,  masturbation,  constipation,  high  living,  in  the 
open  air  or  when  opening  or  moving  the  eyes. 

Onosmodium :  Periodical  headache,  migraine,  face 
red.  General  weakness  and  prostration. 

Petroleum:  Heavy,  dull  headache  in  occiput. 

Phosphoric  acid:  Headache  in  young  people  that 
grow  too  fast,  and  especially  in  students  or  those  that  do 
a  good  deal  of  mental  work. 

Picric  acid:  Least  mental  exertion  causes  headache, 
especially  in  those  who  are  depressed  and  do  too  much 
mental  work.  Are  weak,  worn  out,  depressed  and  suffer 
from  brain  fag  and  general  prostration. 

Pulsatilla:  Pressure,  tight  bandage  and  cold  air  or 
cold  applications  ameliorate  headache.  Patient  feels 
blue  and  depressed. 

Sanguinaria  can. :  Sick  headache  with  nausea  and 
vomiting,  headache  starting  in  back  and  spreading  all 
over  head,  terminating  in  or  over  the  right  eye.  Dark- 
ness and  quiet  ameliorate  condition. 

Sarsaparilla :  Headache  caused  by  suppression  of 
gonorrhoea,  congestive  headache. 

Sepia:  Headache  coming  on  in  shocks  so  violent  as  to 
make  patient  start  or  jerk  head  unawares.  Especially  in 
women  of  despondent  nature  who  are  suffering  from 
wrongs  of  the  reproductive  organs. 

Silica:  Starting  at  base  of  neck  and  extending  over 
head  to  the  eyes.  This  in  cases  where  silica  is  indicated. 

Spigelia:  Neuralgia,  especially  of  the  left  side  of  the 
head.  Left  sided  headache,  especially  if  beginning  in 
occiput  extending  to  left  eye  or  just  above  it.  Sun  head- 
ache that  increases  when  sun  rises  and  decreases  as  the 
sun  sets.  Any  jar  or  noise  will  aggravate  headache. 
Water  may  run  from  the  left  eye. 

Spongia  t. :  Sleeps  into  aggravation,  headache  worse 
when  waking  up. 

Sticta  p.:  Headache  at  root  of  nose,  generally  result 
of  cold  where  nose  is  stopped  up. 

Sulphur:  In  many  chronic  headaches,  where  the  in- 
dicated remedies  do  not  act.  it  will  often  cure  or  remove 
the  predisposing  cause  so  that  indicated  remedy  can  act. 
Headache  the'  result  of  suppressed  eruption. 


BASIC  INDICATIONS  FOR  DRfGS  TN   I'UIMAUY   FORM  323 

Thuja  oc. :  Sycotic  headache.  Headache  from  vaccin- 
ation. 

Bending  or  throwing  head  backward  ameliorates: 
Belladonna,  murex  p.,  thuja  o. 

Cold  air  or  draft,  headache  from:  Aconite,  belladonna, 
carbo  an.,  calcium  phos.,  china,  conium  m.,  ferrnm  ace- 
tate, graphites,  hepar  sulph.,  kali,  lachesis,  muriatic  acid, 
natrum  mnr.,  mix  vomica,  spigelia,  sulphur,  valerian. 

Cold  air,  headache  ameliorated  in:  Aconite,  anti- 
monium,  arsenicum,  album,  colocynthis,  phosphorus,  pul- 
satilla,  tabacum,  thuja  o.,  zincum  met. 

Cold  application  ameliorates  headache:  Pulsatilla. 

Congestive  headache:  Belladonna,  bryonia,  gelsem- 
ium,  lycopodium,  melilotus.  mercurius,  mix  vomica. 

Coughing,  headache  when  coughing:  Capsicum,  fer- 
rnm mur  ,  kali,  spigelia,  sulphur. 

Eating  ameliorates:  Anacardium  o.,  conium  m.,  phos- 
phorus. 

Expansion,  sensation  as  if  head  was  expanded  or  too 
large:  Apis  mel.,  argentum  nit.,  pulsatilla. 

Fear  of  losing  reason  with  headache :  Ambra  g. 

Heat,  headache  from  heat  and  especially  from  the 
heat  of  the  sun  :  Aconite,  bryonia,  carbo  veg.,  glonoine, 
lachesis,  spigelia,  veratrum  album. 

Heat  in  head  with  headache:  Belladonna,  calcium 
phos.,  causticum,  china,  glonoine,  lobelia,  melilotus,  mix 
vomica. 

Hot  applications  ameliorate  headache:  Calcium  phos., 
magnesium  phos.,  mix  vomica. 

Lying  down  aggravates  headache:  Belladonna,  cala- 
dium,  colocynthis,  euphrasia,  lycopodium,  magnesium 
phos. 

Lying  down  ameliorates  headache:  Aethusa  cy.,  cal- 
cium phos.,  helleborus  n.,  ignatia  am.,  mix  vomica,  ole- 
ander. 

Morning,  when  rising:  Ammonium  mur.,  bryonia, 
nux  vomica,  pulsatilla. 

Motion  of  carriage  headache  from  or  aggravation 
from:  Cocculus  ind.,  graphite^  iodium,  kali,  nitric  acid. 

Moving  eyes:  Belladonna,  bryonia,  cuprum  met.,  di,e- 


324  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

italis,  hepar  sulph.,  kalmia  1.,  magnesium  sulph..  mix 
vomica,  pulsatilla,  rhus  tox. 

Moving  head:  Capsicum,  hryonia,  glonoine,  graph- 
ites,  lachesis,  lycopodium,  natrum  mur.,  phosphoric  acid, 
podophyllum,  pulsatilla,  sepia,  spigelia. 

Music:  headache    from:  Ambra    g.,    phosphorus. 

Nights:  Arsenicum  album,  china,  lycopodium,  mer- 
curius,  sulphur,  tartaricum. 

Periodical:  Belladonna,  calcium  phos.,  natrum  mur., 
mix  vomica,  onosmodium  v.,  sulphur. 

Periodical  result  of  malaria:  Arsenicum  album,  cap- 
sicum, china,  eupatorium  perf.,  gelsemium. 

Pressure  ameliorates:  Apis  mel.,  argentum  nit.,  col- 
ocynthis,  calcium  phos.,  magnesium  phos.,  magnesium 
mur.,  natrum  mur.,  mix  vomica,  pulsatilla. 

Sleeps  into  headache,  worse  when  waking  up :  Lach- 
esis, spongia  t. 

Sick  headache: 

Acidum  nitricum:  In  many  sick  headaches  with  very 
sour  or  acid  taste,  teeth  on  edge,  there  may  be  nausea 
and  vomiting.  Throbbing  headache. 

Bryonia:  Bitter  taste,  vertigo  on  rising  from  horizon- 
tal position.  Sensation  as  if  a  stone  was  in  stomach. 

Iris  v.:  Generally  starting  with  a  blur  before  the  eyes. 
Nausea  and  vomiting  of  long,  stringy,  ropy,  sour  tasting 
mucus.  There  is  often  severe  burning  in  mouth  and 
throat. 

Kali  bichrom. :  Sick  headache  preceded  by  blindness, 
when  the  latter  subsides  the  former  begins. 

Natrum  sulph. :  Bitter  taste,  vomiting  of  bile,  bloated, 
diarrhoea  if  present  is  worse  in  morning. 

Nux  vomica:  Confusion,  nausea  and  faintness,  worse 
in  open  air.  Sour  taste. 

Pulsatilla:  Pain  one  sided,  pressure  ameliorates,  feels 
better  in  the  open  air ;  taste  bitter. 

Sanguinaria:  Starts  in  back  of  head,  spreading  over 
head,  terminating  above  the  right  eye.  Feels  better  quiet 
and  in  dark  room.  There  js  nausea  and  often  vomiting. 

Throbbing     headache:   Belladonna,    china,     glonoine. 


I'.ASIC   INDICATIONS  FOR  DKTGS  IN  PRIMARY  FORM  325 

melilotus,  natrum  nuir.,  nitric  acid,  mix  vomica,  sangui- 
naria. 

HEAT   AND    HOT   APPLICATIONS. 

Hot  applications  give  relief:  Arsenicum  album,  bry- 
onia,  magnesium  phos.,  rhus  tox. 

Cold  applications  aggravate:  Arsenicum  album,  bry- 
onia,  magnesium  phos.,  rhus  tox. 

Hot  or  warm  applications  aggravate:  Apis  mel.,  pul- 
satilla  and  sometimes  belladonna. 

Heat  aggravates:  Sabina. 

Warmth  of  bed  aggravates  condition:  Mercurius. 

Pain,  aggravated  by  heat;  but  not  relieved  by  cold: 
Pulsatilla,  chamomilla. 

Condition  resulting  from  damp,  hot  air:  Carbo  veg. 

Lacks  vital  heat,  sensitive  to  cold  air,  especially  the 
head  and  feet:  Silica. 

INFANTS. 

Remedies  given  below  are  those  that  are  often  indi- 
cated in  infants  or  small  children.  For  special  indications 
see  drugs  or  special  headings.  Many  other  remedies  are 
often  indicated,  and  if  so,  should  be  given  to  meet  the 
conditions. 

Agitation  or  nervous  excitability  in  children :  Bella- 
donna, borax  v.,  chamomilla,  coftea. 

Aphthae:  Borax  v.,  echinacea,  mercurius,  phytolacca, 
sulphur,  sulphuric  acid. 

Colic:  Chamomilla,  colocynthis,  dioscorea  v.,  mag- 
nesium phos.  Colicky  children  whose  teeth  get  black  and 
decay,  often  troubled  with  sore  eyelids :  Staphisagria. 

Constipation:  Alumina,  bryonia,  causticum,  magnes- 
ium mur.,  mix  vomica. 

Crying  of  new  born  children,  constantly  without  ap- 
parent cause:  Belladonna,  chamomilla. 

Diarrhoea:  Arsenicum  album,  calcarea  carb.,  calcarea 
ost.,  calcium  phos.,  chamomilla,  cofrea,  colchicum,  col- 
ocynthis, ferrum,  ipecac,  jalapa,  mercurius,  sulphur,  vera- 
trum  album. 

Dry  spasmodic  cough :  Chamomilla,  cina,  mix  vom- 
ica. 


326  MATKRIA    MEDICA  AND  CLINICAL  THERAPEUTICS 

Tendency  to  bite  or  press  gums  together :  Podophyl- 
lum,  phytolacca. 

Spasms:  Belladonna,  calcium,  chamomilla,  cicnta  v., 
cina,  ignatia  am.,  passafiora,  stannum  met.,  sulphur. 

Teeth  coming  through  very  late:  Calcium,  sulphur. 

ITCHING. 

Intense,  aggravated  by  warmth  and  especially  by  the 
warmth  of  the  bed  :  Mercurius. 

When  body  becomes  warm,  scratches  until  it  bleeds, 
itching  between  fingers,  toes  and  under  joints :  Sepia. 

Itching  changing,  to  burning  when  scratching:  Mu- 
rex  p. 

Aggravated  by  cold :  Spongia  t. 

With  burning:  Sulphur. 

With  stinging :  Apis  mel. 

When  body  becomes  warm:  Psorium. 

Itching  in  general,  is  often  benefited  by  :  Rhus  radi- 
cans. 

LEFT-SIDED  REMEDIES. 

In  left  sided  conditions,  or  those  arising  in  the  left 
side  of  the  body. 

Ceanothus  am.:  A  remedy  acting  mostly  on  the  left 
side,  but  especially  on  the  spleen. 

Lachesis:  In  many  conditions,  but  most  often  on  left 
side. 

Ovarian  troubles  on  the  left  side:  Lachesis,  lilium 
tigrinum,  ustilago. 

MOTION   AGGRAVATES. 

Bryonia:  Motion,  or  movement  of  parts  involved  ag- 
gravate pain.  Pain  keeps  patient  quiet. 

MOTION  RELIEVES  PAIN. 

Pulsatilla:  Motion  or  moving  about  in  cool  air  amel- 
iorates, especially  in  menstrual  wrongs. 

Rhododendron:  Motion  ameliorates,  while  rest  ag- 
gravates. 

Rhus  tox. :  Motion  in  warm  air  ameliorates  and  is 
kept  up  until  tired  out. 

Zincum  met.:  Motion  ameliorates  conditions. 


fJASIC   INDICATIONS   R)K  DKl'C.S   IN    PRIMARY  FORM  327 

Walking  slowly  about  relieves  some:  Ferrum  acetate 
or  met.,  platina,  stannum  met.,  zincum  met. 

MUCOUS    DISCHARGES    FROM    MUCOUS     SUR- 
FACES FROM  ANY  ORIFICE. 

Thick,  bland  and  yellowish  green:  Carbo  veg.,  lyco- 
podiuni,  mercurius,  phosphorus,  pulsatilla,  sulphur,  and 
in  some  cases  natrum  sulph.,  kali  sulph. 

Acrid  corrosive,  often  burning :    Arsenicum  album. 

Offensive  discharge:  Arnica,  asafcetida,  baptisia,  kre- 
osotum,  nitric  acid,  mix  vomica,  sabina,  sepia. 

Thick  bland,  green  or  yellowish  green:  Pulsatilla, 
sepia. 

Arnica:  With  putrid  smell  of  mouth. 

Hydrastis:   If  viscid  and  stringy. 

lodium:  Acrid  and  corrosive;  will  eat  holes  in  linen. 

Iris  v. :  Viscid  and  stringy. 

Kali  bichrom:  Viscid  and  stringy.  May  be  consis- 
tency of  jelly. 

Kresotum:  Acrid,  excoriating  parts  it  comes  in  con- 
tact with,  staining  yellow. 

Thuja  oc. :  Green  discharge. 

NAILS. 

Finger  nails  grow  in  splits  like  warts  with  horny 
spots :  Antimonium  crud. 

Nails  crippled  on  fingers  and  toes,  brittle  or  inflamed: 
Silica. 

Nails,  thick,  crippled :  Graphites. 

Xails,  brittle,  crumbling,  distorted  :  Thuja  oc. 

NAUSEA. 

Antimonium  crud.:  Right  after  meals,  with  character- 
istic tongue. 

Bryonia:  Worse  on  motion  or  when  rising  from  the 
recumbent  position.  Hitter  taste. 

Cocculus  ind. :  :;:Xausea  with  inclination  to  vomit  from 
motion  of  carriage,  train,  boat,  ship,  etc. 

:!:.\ote:  Although  cocculus  ind.  is  our  best  remedy  in 
nausea  with  vertigo  from  motion  of  carriage,  train,  boat, 
ship,  etc.,  borax,  lycopodium,  mix  moschata,  petroleum, 
sepia  and  sulphur  are  of  some  value. 


328  MATERIA   MED'ICA  AND  CLINICAL  THERAPEUTICS 

Colchicum:  Smell  of  cooking  nauseates  to  faintness. 

Ipecac :  Persistent  nausea  not  relieved  by  vomiting. 
Generally  from  digestive  errors.  Tongue  may  be  clean 
or  little  coated. 

Lachesis:  Nausea  on  closing  eyes  with  vertigo,  if  in- 
dicated. 

Nitric  acid :  With  sour  or  acid  taste.  Teeth  feel  as  if 
on  edge. 

Nux  vomica:  After  eating  and  mostly  in  the  morn- 
ing, there  may  be  sour  taste. 

Pulsatilla:  From  digestive  errors,  from  mixed  diet, 
rich  food,  etc.,  coating  of  tongue  may  be  similar  to  anti- 
monium  cruel.  Taste  may  be  bitter. 

Theridion  cur. :  Nausea  with  vertigo,  especially  on 
closing  the  eyes.  Noise  appears  to  cause  nausea  and 
vertigo. 

Thuja  oc. :  Nausea  with  vertigo,  especially  when  clos- 
ing eyes,  if  indicated. 

OEDEMATOUS  CONDITIONS. 

Of  upper  eyelids  :  Kali  carb. 

Of  lower  eyelids,  mouth,  throat,  often  with  stinging, 
burning  pain :  Apis  mel. 

Of  whole  face  or  all  around  the  eyes.  There  may  be 
puffy,  relaxed  appearance  of  face :  Phosphorus. 

PAIN  NEURALGIC. 

Aconite,  causticum,  chamomilla,  cimicifuga,  coffea, 
colocynthis,  epiphegus,  gaultheria,  gelsemium,  kalmia  1., 
magnesium  carb.,  magnesium  phos.,  onosmodium,  spige- 
lia,  stannum  met. 

PAIN   IN   GENERAL. 

Actaea  racemosa:  Infra-mammary  pain  at  climateric. 
Pain  pressing  outward  as  if  top  of  head  would  fly  off: 
running  in  eye,  which  aches  fearfully,  settles  in  occiput 
and  shoots  down  the  neck. 

Acid  sulphuric:  Pain  begins  slowly  and  declines  sud- 
denly. 

Ammonium  muriate:  Painful  sensation  as  if  muscles 
were  contracted  or  too  short.  Pain  in  heels.  See  other 
remedies  in  regard  to  latter. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  329 

Apis  mel. :  Stinging  pain  with  burning;  patient  often 
cries  out  with  pain. 

Argentum  nit. :  Pain  in  back  relieved  by  walking  or 
standing,  bad  when  getting  up  from  seat.  Pain  and 
actual  contraction  of  muscles  of  the  legs  or  arms  ;  not  only 
the  sensation.  Stitching  pain  in  throat  as  if  fishbone  was 
in  it.  On  left  side,  increased  by  lying  on  left  side. 

Arsenicum  album:  Pain  through  upper  right  chest. 
Burning  pain  ameliorated  by  heat  in  any  part  of  the  body. 

Aurum :  Bone  pain. 

Belladonna:  Appears  suddenly  and  disappears  sud- 
denly. Pain  worse  on  lying  down.  Pain  ameliorated  in 
headache  if  head  is  thrown  backwards.  Easiest  in  ver- 
tical position. 

Bryonia  alba:  Aggravated  by  motion;  ameliorated  by 
lying  on  affected  part.  Stitching,  sharp  pain,  pressure 
ameliorates  pain.  Cries  out  from  sharp,  stitching  pain. 

Calcarea  ost. :  Pain  through  upper  right  chest  if  in- 
dicated. 

Cantharides:  Pain  with  cutting,  cutting  pain  especi- 
ally. 

Causticum:  Drawing  pains,  especially  in  arms  and 
legs,  better  or  rather  ameliorated  in  bed. 

Chamomilla:  Numbness  with  pain,  angry,  aggravated 
by  heat,  not  relieved  by  cold.  Rheumatism  in  left  shoul- 
der with  above  symptoms.  Sensitive  to  pain. 

Chelidonium:  Pain  through  lower  right  chest.  Pain 
under  right  shoulder  blade. 

Chenopodium  3od:  Pain  under  left  shoulder  blade. 

Coffea:  Pain  unsupportable,  driving  to  despair,  sleep- 
lessness. 

Croton  tig.:  Pain  drawing  through  from  nipple  to 
back  while  nursing. 

Dioscorea  vil. :  Pain  in  early  stage  of  felon  when  it  is 
sharp  and  agonizing. 

Eupatorium  perf. :  Bone  pain.  Pain  makes  patient 
restless. 

Ferrum  met.  or  acetate:  Pain  relieved  by  walking 
slowly  about  even  if  weak  and  prostrated.  Easily  flushed 
and  red  face. 


33O  MATKKIA   MKDICA   AND  CLINICAL  THERAPEUTICS 

Gelsemium:  Neuralgic  pains  may  be  dull  aching  or 
darting,  coming  on  so  suddenly  as  to  make  patient  start. 

Ignatia  am. :  Sharp  pain  shooting  up  the  rectum, 
often  accompanied  by  disposition  to  sigh  and  draw  a  long 
breath. 

Kali  carb. :  Stitching  pain  at  any  time  not  relieved 
by  pressure  or  lying  on  painful  side  or  part.  Oedematous 
condition  of  the  upper  eyelid.  Stitching  pain  or  sensation 
in  throat  as  if  a  fishbone  was  in  it.  Pain  through  lower 
right  chest,  if  indicated. 

Magnesium  mur. :  Pain  in  region  of  liver  aggravated 
by  lying  on  right  side,  with  constipation. 

Mercurius:  Pain  through  lower  right  chest  if  indi- 
cated. Pain  in  region  of  liver  aggravated  by  lying  on 
right  side,  with  bowels  loose. 

Myrtus  com.:  Pain  in  upper  left  chest  through  to 
scapula. 

Natrum  sulph. :  Pain  in  lower  left  chest.  Stitching 
pain  through  left  lung  below  left  nipple. 

Nitric  acid:  Stitching  pain  in  throat  as  if  fishbone  was 
in  it,  if  indicated.  (See  also  Hepar  Sulph.) 

Phosphorus:  On  left  side  increased  by  lying  on  left 
side.  Burning,  especially  of  hands.  With  pain  or  not. 

Phytolacca:  Aching,  bruised  feeling  all  over  the 
body.  Groans.  Movement  aggravates  pain. 

Platina :  Pain,  gradual  increase  and  gradual  decrease  ; 
not  so  weak  as  in  stannum.  Numbness  with  pain  as  in 
chamomilla  but  not  such  an  ugly  disposition. 

Ptelea  trif. :  Pain  in  region  of  liver  aggravated  In- 
lying on  left  side. 

Pulsatilla:  If  general  symptoms  are  present,  feels 
better  in  cold  air,  from  cold  application,  chilliness  with 
pain,  still  wants  cold  room.  Worse  in  warm,  closed 
room.  Pain  rapidly  shifting  from  one  place  to  another. 

Rhus  tox. :  Burning  marked  with  more  or  less  pain. 
Restlessness. 

Rumex  crispus:  Stitching  pains  through  left  lung, 
just  below  nipple. 

Ruta  g. :  Wrist  pain  increased  in  cold  weather  and 
on  motion. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  33! 

Silica:  Pain  drawing  through  from  nipple  to  back,  if 
indicated. 

Stannum  met.:  Pain  gradually  increases  to  great 
height  and  gradually  decrease^.  Relieved  by  pressure. 

Sulphur:  Burning,  especially  of  feet  in  chronic  cases. 
Pain  in  upper  left  chest  through  to  scapula. 

Theridion  cur. :  Pain  in  upper  left  chest  to  shoulder, 
if  indicated. 

PARALYSIS. 

Left  sided :  Lachesis. 

Right  sided :  Causticum. 

After  diphtheria.  Paraplegia  from  debility :  Argen- 
ttim  nit. 

Post-diphtheritic  with  marked  hyperaesthesia  of  skin  : 
Plumbum  met.  or  acetate. 

Of  ankles  late  in  the  afternoon  :  Chamomilla. 

Of  wrists :  Ferrum  acetate,  ruta  g.,  silica,  plumbum 
met  or  acetate. 

From  below  going  upwards  :  Lachesis. 

Vocal  organs  in  general :  Causticum,  cantharides. 

Paresis,  hands  tremble,  hands  go  to  sleep,  soles  of 
feet  go  to  sleep,  a  weakness  in  back  almost  bordering  on 
paralysis,  marked  prostration :  Cocculus  ind. 

Prostration  and  entire  relaxation  of  the  muscular 
system  and  even  motor  paralysis:  Gelsemium. 

PRESSURE. 

Relieves:  Bryonia,  colocynthis,  stannum  met. 
Aggravates:  Kali  carb.,  lachesis. 

RESTLESS  REMEDIES. 

Aconite:  Mostly  in  colds,  continued  fevers,  and  severe 
inflammatory  fevers.  Early  stage. 

Arsenicum  alburn:  In  inflammatory  diseases  in  latter 
stages,  low  grade  of  fevers.  Weak  condition. 

Chamomilla:  Restless  and  sleepless. 

Rhus  tox. :  Restlessness  on  account  of  aching  pains, 
temporarily  relieved  by  movement. 


*332  MATERtA   MEDIC  A  AND  CLINICAL  THERAPEUTICS 

RIGHT-SIDED  REMEDIES. 

Indicated  in  conditions  of  right  side  or  starting  on 
right  side. 

Chelidonium:  Especially  if  there  are  liver  symptoms. 

Conium  m. :  In  hardness  of  mammae. 

Lycopodium :  In  general  conditions  that  arise  on  the 
right  side. 

Sanguinaria:  Not  a  right  sided  remedy  but  acts  more 
strongly  on  that  side. 

Remedies  acting  mostly  on  right  ovary :  Apis  mel., 
belladonna,  bryonia,  lycopodium,  podophyllum. 

SENSATION. 

As  if  some  thing  were  moving  about  in  abdomen : 
Capsicum,  sabadilla,  sepia. 

As  if  stomach  were  hanging  down  relaxed,  all  gone, 
weak  sensation.  A  sinking  sensation  in  stomach  :  Staph- 
isagria,  ipecac,  tabacum,  thuja  oc. 

As  if  something  was  moving  or  hopping  about  in 
stomach,  abdomen,  or  uterus:  Crocus  sativus. 

As  if  a  splinter  was  in  throat:  Argentum  nit.,  alum- 
ina, hepar  sulph.,  nitric  acid. 

As  if  thread  were  hanging  down  throat:  Valerian. 

Sensation  of  coldness  in  back  between  shoulders : 
Ammonium  mur. 

Sensation  of  swelling  in  pit  of  stomach  :  Bryonia. 

Sensation  of  bubbling  in  region  of  kidneys,  great  deal 
of  prostration,  often  means:  Rerberis  vulgaris. 

Sensation  of  rawness  and  soreness,  dull,  drawing,  tear- 
ing pain  in  hands,  arms,  thighs,  legs,  knees  and  feet, 
worse  in  open  air,  better  in  bed.  AYeakness  and  trem- 
bling of  limbs:  Causticum. 

Feeling  as  if  floating  in  the  air:  Valerian. 

Feeling  as  if  legs  were  floating  in  the  air:  Sticta  pul. 

Feeling  as  if  falling,  afraid  of  falling,  child  grasps 
nurse  for  fear  of  falling:  Gelsemium. 

Of  falling,  only  from  downward  motion  :  Borax  v. 

Sensation  or  feeling  as  if  hair  was  on  tongue,  without 
there  actually  being  any,  if  indicated :  Kali  bichrom., 
natrum,  murex  p.,  silica. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  333 

Sensation  as  of  cobweb  on  face,  if  indicated :  Borax 
v.,  graphites. 

Tingling  of  tongue,  lips  and  nose :   Xatrum  mtir. 

Empty,  gone  feeling  in  the  stomach,  if  nervous  con- 
dition :  Ignatia  am.  If  connected  with  uterine  troubles : 
Sepia.  If  from  digestive  wrongs :  Hydrastis. 

Empty,  gone  feeling  all  over  the  abdomen :  Phos- 
phorus. 

Sensation  of  feeling  of  fullness :  Aesculus  hip.  Of 
expansion  :  Argentum  nit. 

Coldness  in  parts  or  in  general,  if  indicated.  In  feet 
and  lower  legs  as  if  patient  had  cold,  damp  stockings  on : 
Calcarea  ost. 

Numbness  in  heels  when  stepping :  Alumina. 

Sensation  of  stone  in  stomach :  Bryonia,  plusatilla, 
mix  vomica. 

Feeling  of  emptiness  of  all  internal  organs  and  head, 
depression :  Cocculus  ind. 

Emptiness  in  stomach  and  abdomen,  an  all  gone  feel- 
ing, we  think  of:  Hydrastis,  ignatia  am.,  murex  p., 
sepia. 

SENSITIVE  TO  TOUCH  OR  PRESSURE. 

Asafoetida,  antimonium  crudum,  capsicum,  china, 
hepar  sulph.,  kali  carb.,  lachesis,  plumbum. 

Capsicum:  Cannot  bear  to  be  touched  or  even  shaved. 
Marked  hypersesthesia. 

China:  Cannot  bear  to  be  touched,  current  of  air 
causes  pain.  Hard  pressure  relieves. 

Hepar  sulph. :  Cannot  bear  to  be  touched,  current  of 
air  causes  pain.  Cannot  bear  to  have  any  sore  or  abra- 
sion touched.  Marked  hyperaesthesia. 

Lachesis:  Sensitive  to  touch  or  pressure.  Feeling  of 
constriction. 

Plumbum :  Cannot  bear  to  be  touched  or  even  shaved. 
Marked  hypersesthesia. 

SMELL. 

Loss  of:  Belladonna,  calcium,  hepar  sulph.,  hyoscya- 
mus,  natrum  mitr.,  pulsatilla,  plumbum,  sepia,  silica, 
zincum  met. 


334  MATERIA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Abnormally  acute:  Aconite,  aurnm,  belladonna, 
chamomilla,  cocculus  ind.,  colchicum,  china,  graphites, 
lycopodium,  mix  vomica,  phosphorus,  sepia. 

SPARE  PEOPLE. 

Remedies  acting  best  on  thin,  spare  subjects,  if  indi- 
cated : 

Calcium  phos. :  In  spare  and  anaemic  subjects,  es- 
pecially children.  There  may  be  tardy  bone  develop- 
ment. 

Lycopodium:  Look  older  than  they  are,  well  devel- 
oped head,  but  puny,  sickly  bodies. 

Fluoric  acid:  Withered  and  dried  up  person,  the  re- 
sult of  disease.  Young  people  look  old. 

Phosphoric  acid:  Tall  and  slender,  that  is  in  young 
people  growing  too  fast  it  acts  best. 

Phosphorus:  Tall  and  slender,  that  is  in  young  peo- 
ple growing  too  fast  it  acts  best. 

Silica:  With  sweaty  hands  and  defective  assimilation  ; 
looks  shrunken  and  old.  Head  sweats  easily.  Feet 
sweating  which  may  be  offensive. 

SLEEP. 
Before  going  to  sleep : 

Dreads  going  to  bed:  Causticum,  lycopodium,  mer- 
curius.  Heavy  and  weary  feeling  in  extremities  and  in 
general.  There  may  be  pain  in  legs  and  arms :  Kreoso- 
tum,  natrum  carb. 

Position:  Cannot  find  rest  in  any  position:  Kali, 
lachesis.  Cannot  find  rest  on  back:  Magnesium  mur., 
sabina. 

Starting  up  just  when  about  going  to  sleep:  Ammon- 
ium, belladonna,  rhus  tox.,  tartar  emetic. 

Stretching:  Belladonna,  china,  ighatia  am.,  mix  vom- 
ica. 

Tossing  about:  Anacardium  o.,  china,  kreosotum, 
rhus  tox.,  sabadilla,  thuja  oc. 

Twitching  of  arms  or  legs  or  any  part  of  the  body : 
Arsenicum  album,  ignatia  am.,  nux  vomica. 


HAS  1C   INDICATIONS  FOR  DRTGS  JN    PRIMARY  FORM  335 

When  asleep : 

Moaning:  Arnica,  arsenicum  album,  baptisa,  bryonia, 
belladonna,  caladium,  carbo  an.,  helleborus  n.,  lachesis, 
lycopodium,  mercurius,  muriatic  acid,  nitric  acid,  pulsa- 
tilla,  rhus  tox. 

Open  mouth:  Mercurius,  rhus  tox.,  sambucus  nig. 

Dry  mouth:  Causticum,  pulsatilla. 

Position:  Arms  above  head:  Xux  vomica,  platina, 
pulsatilla,  sulphur,  veratrum  album.  Hands  crossed  un- 
der head:  Aconite,  arsenicum  album,  china,  colocynthis, 
magnesium,  tartaricum. 

Sleep  retarded  after  going  to  bed  late:  Ammonium 
carl).  After  waking  jn  the  night:  Xatrum  mur.  Every 
second  night :  China,  lachesis. 

Sleep  with  giddiness:  Caladium. 

Sleeplessness  after  midnight:  Arsenicum,  belladonna, 
caladium.  Before  midnight:  Bryonia,  mix  vomica,  pul- 
satilla. With  burning  heat:  Belladonna. 

Tossing  in  sleep:  Aconite,  arsenicum  album,  bella- 
donna, rhus  tox.,  sulphur. 

Uncover,  desire  to,  in  sleep:  Arsenicum  album,  pla- 
tina, magnesium. 

Unable  to  sleep :  Lying  on  back :  Phosphorus.  On 
left  side:  Lycopodium,  ptelea.  On  right  side:  Bryonia, 
magnesium  mur.  With  knees  bent,  or  legs  drawn  up : 
Platina,  pulsatilla. 

Waking  caused  by  slightest  noise :  Selenium. 

Waking,  anxious  at  certain  time :  Selenium. 

SUN  HEAT  AND  AFFECTIONS  BEARING  ON  IT. 

Prostration  from  heat :  Glonoine  is  our  best  immedi- 
ate remedy.  Lachesis  is  our  next  remedy. 

Sun  pain :  Pain  increased  with  rising  sun  ;  decreased 
with  setting  sun  :  Natrum  mur.,  spigelia,  tabacum. 

Trouble  caused  or  aggravated  by  heat  and  especially 
by  the  heat  of  the  sun,  still  cold  baths  aggravate  condi- 
tions or  may  cause  trouble :  Antimonium  crudum. 

Troubles  caused  or  aggravated  by  heat  and  especially 
by  the  heat  of  sun  :  Bryonia,  gelsemium  or  natrum  carb. 
mav  be  indicated. 


336  MATERIA  IVLEDICA  AND  CLINICAL  THERAPEUTICS 

Aconite,  belladonna,  bryonia,  calcium,  lycopoclium 
and  nux  vomica,  have  a  less  marked  action  in  this  direc- 
tion, still  are  useful  if  indicated  when  overheated. 

SWEATING. 

Sweating  impossible:  Lachesis,  staphisagria. 

Apis  mel. :  Alternate  dry  and  hot  or  perspiring. 

Arsenicum  album:  Fever  and  headache  are  relieved 
by  sweating. 

Belladonna:  Sweats  on  covered  parts. 

Calcarea  ost. :  Partial  sweats,  coldness  of  single  parts 
as  well  as  general.  Profuse  sweating  on  head  or  head  and 
face,  especially  while  asleep.  In  night  sweats  of  the  de- 
bilitated. 

Caladium  :  Sweat  is  sweet,  attracts  flies. 

Conium  m. :  Sweating  day  or  night  as  soon  as  one 
sleeps  or  even  closes  eyes. 

Ferrum  phos. :  Night  sweats  of  weak  and  ansemic  sub- 
jects. 

Mercurius:  Pain  increased  by  sweating  at  least  not 
relieved.  Sweats  day  and  night  and  no  relief.  If  this 
fails  try  hepar  sulph. 

Natrum  mur. :  Fever  and  headache  and  all  other 
symptoms  of  natrum  mur.  are  relieved  by  sweating. 

Pulsatilla:  One  sided  sweats. 

Sambucus  nig.:  Profuse  sweating  while  awake;  dry 
heat  when  asleep. 

Stannum  met. :  Profuse  night  sweats ;  but  especially 
on  chest. 

Thuja  oc. :  Sweats  on  uncovered  parts. 
Veratrum  album:  Cold  sweats,  sweating  of  face  and 
forehead,  with  threatened  collapse. 

Clammy:  Arsenicum  album,  daphne  ind.,  veratrum 
album. 

Cold:  Digitalis,  dulcamara,  lachesis,  natrum,  tartar 
emetic,  veratrum  album. 

Colors  linen  yellow:  Arsenicum  -  album,  belladonna, 
carbo  an.,  mercurius. 

Greasy,  oily:  Bryonia,  china,  magnesium,  mercurius. 


BASIC  INDICATIONS  FOR  DRUGS  IN  PRIMARY  FORM  337 

Hot:  Antimonium,  china,  opium. 

Smelling  like  urine:  Berberis  vul.,  colocynthis,  nitri: 
acid. 

TASTE. 

Acid:  Nitric  acid. 

Bitter:  Chelidonium,  bryonia,  pulsatilla,  china,  saba- 
dilla,  digitalis,  natrum  mur. 

Bloody:  Ammonium  carl).,  kali  carb.,  natrum  carb., 
sabina,  zincum  met.,  silica. 

Disagreeable,  disgusting,  repugnant :  Sabadilla. 

Earthy:  Nux  moschata. 

Greasy:  Causticum,  magnesium,  muriatic  acid,  lach- 
esis,  sabina. 

Loss  of  taste:  Belladonna,  hepar  sulph.,  kali  carb., 
natrum  mur.,  pulsatilla,  veratrum  album. 

Metallic:  Cuprum  met., -cocculus  hid. 

Mouldy :   Ledum  palustre. 

Oily:  Magnesium,  silica. 

Salty:  Phosphorus,  natrum  mur.,  mercurius,  carbo 
vcg.,  kali  iodide. 

Soapy:  Dulcamara,  iodium. 

Sour,  salty:  Cuprum  met. 

Sour:  Nux  vomica,  iris  v.,  calcarea  ost.,  nitric  acid. 

Sweet:  Stannum  met.,  magnesium  sulph. 

Taste  of  food  eaten:  Antimonium  crud.,  ferrum  ace- 
tate. 

THIRST. 

Drinking  seldom  but  much  at  a  time,  there  may  be  bad 
or  bitter  taste,  coated  tongue,  thirst  increased  by  beer: 
Bryonia. 

Moist  mouth,  with  intense  thirst :  Mercurius. 

Sense  of  dryness  of  mouth  without  actual  dryness : 
Natrum  mur. 

Thirst,  drinking  often,  but  little  at  a  time :  Arsenicum 
album. 

THIRST,  ABSENCE  OF. 

Absence  of  thirst  with  marked  dryness,  tongue  sticks 
to  roof  of  mouth,  especially  in  the  night :  Nux  moschata. 

Bad  taste  in  the  mouth,  especially  in  the  morning, 
but  no  thirst.  Mouth  dry,  but  no  thirst :  Pulsatilla. 


338  MATKRIA    MICPICA    AM)   CLINICAL   T  1 1  KRAPKUT1CS 

Absence  of  thirst  in  general :  Aethusa  cy.,  belladonna, 
calcium,  natruni  mur.,  pnlsatilla. 

Dread  of  drinking:  I  Belladonna,  hyoscyanuis,  nux 
\"omica,  sambucus  nig.,  stramonium. 

TIME  WHEN  SYMPTOMS  ARE  WORSE. 

Aggravation  in  general  at  about  3  A.  M.,  less  so 
at  3  P.  M. :  Kali  carb. 

Aggravation  in  general  at  about  midnigbt  from  i  i 
P.  M.  to  2  A.  M.;  less  so  from  u  A.  M.  to  2  P.  M.  in 
day  time,  especially  if  there  is  pain,  restlessness,  burn- 
ing or  prostration  :  Arsenicum  album. 

Aggravation  of  symptoms  in  general  in  the  morning 
if  indicated:  Podophyllum,  nuphar  lutea,  nux  vomica, 
rumex  crispus. 

Aggravation  of  symptoms  during  the  day  in  typhoid 
fever :  Bryonia. 

TEMPERAMENTS,  CONDITION  AND    BY    WHAT 
REMEDIES  INFLUENCED. 

Antimonium  crudum :  Child  cross,  screams  and  cries, 
shows  temper  at  every  little  attention. 

Aururn:  Looks  at  dark  side  of  life,  tendency  to  com- 
mit suicide;  peevish,  often  the  least  contradiction  excites 
wrath. 

Chamomilla :  Patient  feels  snappish  and  ugly.  Child 
wants  this  or  that,  but  if  handed  wants  something  else. 

Natrum  mur.:  Patient  is  aggravated  by  comforting 
and  consolation. 

Pulsatilla:  Patient  is  soothed  and  comforted  by  con- 
solation. 

Sepia:  Patient  is  sad,  cries  often  without  knowing 
why. 

Stannum  met.:  Patient  is  generally  very  sad,  feels 
like  crying  all  the  time. 

TREMBLING   REMEDIES. 

Gelsemium:  From  .weakness,  trembles  all  over. 
Sometimes  so  severe  as  to  be  mistaken  for  a  chill. 

Zincum  met.:  General  trembling  from  prostration. 
Trembling:    Sensation     of  internal    trembling,    without 

visible   trembling,    especially    in    females:  Caulophyl- 

lum. 


BASIC    INDICATIONS   I'OK  DRTCS   IN    PRIMARY  FORM 

Sulphuric  acid:  In  weak  subjects,  may  be  hemorrhage 

from  every  outlet  of  the  body. 

TWITCHING  REMEDIES. 
Agaricus,  ignatia  am.,  zincum  met. 
VERTIGO. 

Argcntum  nit. :  In  the  dark  or  with  eyes  closed,  ver- 
tigo with  staggering.  Buzzing  in  ears,  general  debility 
and  trembling. 

Belladonna:  When  rising  after  stooping  over. 

Borax  v. :  When  descending, 

Bryonia:  When  getting  up  from  seat  or  bed  or  mov- 
ing bead.  Whirling  vertigo,  lying  down  relieves. 

Calcarea  ost. :  When  turning  or  moving  head  or  while 
ascending. 

Chelidonium :  In  liver  trouble,  if  indicated.  Vertigo 
on  rising  from  bed. 

Cocculus  ind. :  Whirling  vertigo  on  rising  up  in  bed, 
must  lie  down  again.  Feels  as  if  intoxicated.  Headache 
precedes  sickness  of  stomach.  Vertigo  increased  by 
riding  in  cars,  boat,  etc. 

Conium  m. :  From  turning  or  moving  head,  looking 
backward;  turning  in  the  bed  ;  whirling  vertigo;  vertigo 
lying  in  bed. 

Ferrum:  While  descending. 

Gelsemium:  Occipital,  with  dimness  of  sight.  Stag- 
gering vertigo. 

Kali  carb. :  On  turning  the  head. 

Lachesis :  After  sleep. 

Natrum  rnur. :  While  walking.     While  studying. 

Nux  vomica :  From  odor  of  flowers ;  while  walking 
after  eating;  with  fainting;  with  staggering;  with  dim- 
ness of  sight;  when  stooping. 

Phosphorus:  On  looking  down;  while  walking;  from 
odor  of  flowers:  staggering  when  rising  from  seat.  Must 
lie  down  to  get  relief. 

Pulsatilla:  Looking  .up ;  while  walking;  as  if  whirl- 
ing. Must  lie  down  to  get  relief.  After  suppressed 
menses. 


34°  MATEKIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

Sabadilla:  Ameliorated  by  resting  head. 

Sassafras:  From  looking-  fixedly  at  an  object. 

Silica:  Looking  up. 

Stramonium:  In  the  dark  or  with  eyes  closed. 

Theridion  cur. :  Vertigo  with  nausea,  especially  on 
closing  the  eyes,  noise  unbearable.  Vertigo  from  noise. 

Vertigo  when  reading:  Ammonium  carb.,  arnica, 
cuprum  met. 

Alternate  with  colic:  Colocynthis,  spigelia. 

When  lying  on  back:  Mercurius,  sulphur,  mix  vom- 
ica. 

In  morning:  Conium  in.,  graphites,  lachesis. 

In  morning  when  rising:  I  Belladonna,  kali  bichrom.. 
bryonia,  phosphorus. 

Vertigo  from  looking  down:  Oleander,  spigelia. 

When  lying  down:  Caladium,  conium  m.,  rhododen- 
dron, staphisagria,  thuja  oc. 

When  eating:  Ammonium  carb.,   magnesium   mur. 

Vertigo  in  occiput:  Gelsemium,  petroleum,  silica. 

VOMITING. 

Vomiting  when  stomach  is  empty — coffee  ground 
vomit.  Vomit  is  dark,  pain  most  severe  2  or  3  hours 
after  meals;  eating  relieves.  Then  patient  will  eat  to 
get  relief:  Anacardium  o.  3od. 

Vomiting  water  the  moment  it  touches  stomach  :  Sub- 
nit,  of  bismuth  3od. 

Vomiting  of  large,  sour  curds,  sour  stool,  sweaty 
head :  Calcarea  ost. 

Vomiting  of  warm  drinks,  cold  drinks  retained,  tem- 
porary amelioration  after  vomiting:  Pulsatilla. 

Vomiting,  but  more  gagging  without  vomiting,  rum- 
bling in  abdomen,  especially  ascending  colon  :  Poclophyl- 
lum. 

Wants  cold  things;  as  soon  as  they  get  warmed  up 
in  stomach  they  are  vomited  up :  Phosphorus. 

Cold  drinks  vomited  up,  patient  can  retain  nothing 
but  hot  drinks  on  stomach  :  Chelidonium. 

Great  nausea  and  vomiting  of  sour,  glair}",  stringy 
and  ropy  material.  So  sour  as  to  cause  excoriation  in 
throat.  Burning  of  tongue,  throat,  stomach  and,  if  diar- 


T.ASIC  INDICATIONS  FOR  imrc.s  IN  PRIMARY  FORM         341 

rhrea,  of  anus  also.  Profuse  flow  of  saliva ;  taste  of  vomit 
may  also  be  bitter  or  sweet,  but  seldom.  Burning  should 
not  be  forgotten :  Iris  v. 

Vomiting  of  milk  or  milky  nature,  white  color  from 
side  of  nose  to  edge  of  mouth,  white  upper  lip.  Vom- 
iting of  milk  with  great  effort  and  prostration  after- 
wards. If  not  vomited  up  at  once  child  will  a  little  later 
throw  up  great  masses  of  curdled  milk  almost  too  large 
to  be  thrown  up.  Stool  not  sour  nor  is  there  a  rickity 
condition  of  patient :  Aethusa  cy. 

More  gagging  than  vomiting,  if  indicated :  Secale 
cor. 

Vomiting,  chronic,  with  good  appetite,  generally  pro- 
fuse, sweet  and  marked  prostration.  Face  bathed  in  cold 
sweats  and  extreme  nausea,  result  of  gastric  derange- 
ments :  Lobelia. 

Cries  when  vomiting,  tearful,  fear  of  death.  Severe 
pain  in  stomach,  often  burning,  aggravated  by  least  food 
or  drink,  especially  if  cold :  Arsenicum  album. 

Vomiting  of  stringy  matter  may  be  of  gelatinous  con- 
sistency: Kali  bichrom. 

Vomiting  gives  no  relief,  nausea  persistent :  Ipecac. 

Vomiting  from  marked  irritation  in  stomach,  burning 
in  stomach,  where  the  vomiting  gives  temporary  relief, 
especially  where  there  is  marked  prostration,  patient  pale 
and  drowsy :  Antimonium  tar. 

Smell  of  cooking  food  nauseates  even  to  vomiting  at 
times,  gets  faint  feeling:  Colchicum. 

Vomit  sour:  Borax,  calcium,  ferrum,  mix  vomica, 
phosphorus,  pulsatilla. 

Sweetish :     Kreosotum. 

Vomiting  violently:  Arsenicum  album,  belladonna, 
cuprum  met.,  moshus,  mix  vomica,  veratrum  album. 

Yellow,  greenish  :  Oleander,  veratrum  album. 

Resembling  pitch  :  Ipecac. 

\Yith  coldness  of  hands  or  feet:  Kreosotum. 

Vomiting  and  nausea  from  passive  motion  of  ship, 
carriage,  etc. :  Arsenicum  album,  cocculus  ind.,  petro- 
leum, silica,  sulphur. 

Vomiting  sour  with  sour  eructations.  If  in  children 
they  may  smell  sour  all  over:  Sulphuric  acid. 


342  MATKRIA    MKDICA    AND  CLINICAL   T  1 1  KRAI'KL'TICS 

Vomiting  of  food  after  it  has  lain  in  stomach  for  5  to 
6  hours  or  longer.  Coughing  with  vomiting  of  food: 
Ferrum  acetate  or  ferrum  met. 

WET  WEATHER  REMEDIES. 

Condition  aggravated  or  brought  about  by  wet 
weather : 

Calcium  phos. :  Spring  and  fall  when  air  is  cold  and 
damp.  From  change  of  warm  to  cold,  damp  weather. 
From  melting  snow. 

Dulcamara:  Sudden  change  from  warm  to  cold 
weather  or  in  damp  weather. 

Natrum  sulph. :  Aggravation  in  damp  weather.  Es- 
pecially before  a  storm,  with  marked  electrical  disturb- 
ances. 

Rhus  tox. :  From  cold,  but  especially  wet  cold. 

WOUNDS  AND  FRACTURES. 

Black  eye  from  blow  of  fist :  Ledum  p. 
Bruised  wounds:   Ledum   p.,  arnica,   hamamelis,   sul- 
phuric acid. 

Fractures :  Calcium  phos. 

Incised  wounds:  Staphisagria  200  p. 

Lacerated  wounds :  Calendula. 

Strains:  Calcarea  ost.,  mix  vomica.  rhns  tox. 

WOUNDING  OF  NERVES,  BONE,  PERIOSTEUM, 
BRUISES. 

Wounding  and  bruising'  of  periosteum:  Ruta  g. 
Wounding  and  bruising  of  nerves:     Hypericum   I'erf. 
Wounding  and  bruising  of  bone:   Calcium  phos. 
Black   and   blue   spots   from    bruises   or   blows:   Led- 
um ]). 


LEADING  BASIC  INDICATIONS 

OF 
SOME  DRUGS  IN  SPECIAL  CONDITIONS. 


ALOPECIA. 

From  abuse  of  quinine:   Belladonna. 

From  abuse  of  mercury:  Carbo  veg.,  hepar  sulph., 
kali  iodide. 

With  violent  itching:  Graphites,  lycopodium,  silica, 
sulphur. 

With  many  scales  on  head:  Calcium,  graphites,  staph- 
isagria. 

From  long  grief:  Graphites,  ignatia  am.,  lachesis, 
phosphoric  aci.d,  staphisagria. 

From  debilitating  losses:  China,  ferrtim  acetate  or 
ferrum  met. 

From  frequent  sweats:   Mercurius. 

From  severe  acute  diseases:  Calcium,  hepar  sulph., 
lycopodium,  phosphoric  acid,  silica,  sulphur. 

Hair  falling  out  or  if  they  grow  too  slowly  or  in 
splits,  especially  in  sycotic  subjects:  Thuja  oc. 

ANTIDOTES  FOR  EFFECTS  OF  ABUSE  OF 

DRUGS,  ETC. 

Overdosing  with  mercury  for  syphilis:  Nitric  acid. 
After  effects  of  abuse  of  argentum  nit.:  Natrum  mur. 
After  effects  of  vaccination:  Echinacea,  thuja  oc. 
Lead  poisoning:  Kali  bichrom. 
Iodide  of  potassium:  Hepar  sulph. 
Mercurial   salivation:      Belladonna   dulcamara,   hepar 
sulph.,  iodium,  lachesis,  nitric  acid,  sulphur. 

ANAL  FISSURES. 

Of  eczematous  nature,  if  indicated  :  Graphites. 

Sore,  painful  and  sometimes  bleeding:   Xatrum  mur. 

Where  the  skin  and  membranes  join,  very  sore,  may 
bleed  :  Nitric  acid. 

ANAL  PROLAPSUS. 

Frequent  desire  for  stool,  but  in  place  of  latter,  rec- 
tum comes  down,  afraid  to  strain  or  lift.  After  stool 


344  MATRRTA   MEDTCA  AND  CLINICAL   Til  F.RA  1'KUTICS 

there  may  be  contracting  pains  for  hours,  shooting  up- 
wards, sharp  pain  in  rectum  :  Ignatia  am. 

Prolapsus,  occurring  even  at  urinating,  passage  of 
flatus  and  when  bowels  move.  Cannot  bear  the  least 
touch  to  parts,  even  underwear  or  bed  sheets :  Muriatic 
acid. 

Prolapsus  of  rectum  or  uterus  after  straining  or  lift- 
ing too  hard,  after  or  in  parturition  or  with  characteristic 
diarrhoea :  Podophyllum. 

Prolapsus  aggravated  on  stooping  or  lifting :    Ruta  g. 

Congestion  of  rectum,  feels  as  if  a  ball  or  weight  was 
in  it,  oozing  of  moisture  from  rectum ;  prolapsus  ani : 
Sepia. 

ASTHMA  SPASMS. 

Blatta  orientalis:  For  spasms  and  general  condition 
TO  to  20  drops  in  2  ounces  of  water,  }/2  teaspoonful  every 
15  minutes  to  ]/2  hour  until  easier,  then  at  longer  inter- 
vals. Ordinarily  to  correct  condition  it  should  be  taken 
regularly  for  a  short  while,  about  2  to  3  doses  a  day. 

Causticum:  Asthma  worse  in  dry  weather,  better  in 
damp  weather. 

Sambucus  nig:  In  asthma  millari,  it  is  a  splendid  rem- 
edy. The  child  will  turn  blue  in  the  face,  gasp  for  breath 
and  appears  as  though  it  would  die.  Will  go  to  sleep  only 
to  wake  up  again  with  another  attack.  Attacks  come 
on  suddenly,  generally  in  the  night.  Asthma  with  same 
indications  in  grown  people  will  be  relieved  by  :  Sam- 
bucus nig. 

Senega,  mother  tincture  10  to  20  drops  in  2  ounces  of 
water,  y2  teaspoonful  every  15  minutes  to  }/2  hour  until 
easier,  then  at  longer  intervals. 

Asthma  remedies  that  arc  at  times  indicated  in 
spasms :  Lachesis,  sambucus  n.,  tartar  emetic. 

Asthma  worse  in  cold  weather,  better  in  damp 
weather:  Dulcamara,  natrum  sulph. 

BOILS. 

In  the  early  stage,  belladonna  will  often  abort  them. 
If  beyond  that  stage  calcium  sulph.,  hepar  sulph.,  mer- 
curius  or  silica,  will  hasten  maturity,  then  assist  in  short- 


BASIC   INDICATIONS  IN  SPECIAL  CONDITIONS  345 

ening  their  course.  If  they  are  very  painful  and  of  bluish 
color  lachesis  is  of  value.  However  tarantula  cub.  is  the 
best  remedy  we  have  to  ameliorate  pain. 

CATARRH  IN  THE  HEAD  IN  GENERAL. 

Dry  nature,  nose  all  stopped  up.  Worse  at  night, 
must  breathe  through  mouth.  Maybe  nose  bleed  while 
washing  face :  Ammonium  carb. 

Nose  stopped  up  when  going  out  in  cold  air:  Hepar 
sulph. 

Scabs  and  plugs  which  form  in  nose  often  cause  liber- 
ation of  septum  of  nose.  Severe  pain  at  root  of  nose: 
Kali  bichrom. 

Yellowish  or  greenish  discharge  of  nose  worse  even- 
ings and  in  hot  rooms.  Feels  better  in  open  air.  Cough 
loose,  rattling:  Kali  sulph. 

Chronic  catarrh  of  nose,  dry  form,  worse  at  night, 
must  breathe  through  mouth  :  Lycopodium. 

Chronic.  Much  hawking  and  spitting  of  thick  mucus 
that  constantly  accumulates,  extending  from  nose  into 
throat :  Natrum  carb. 

Chronic  nasal,  blows  a  little  blood  from  nose  fre- 
quently :  Phosphorus. 

Pain  in  frontal  sinuses,  discharge  dry  and  hard,  and 
generally  hard  to  dislodge.  Continual  tendency  to  blow 
nose,  but  none  or  very  little  result.  Dry  form  of  coryza 
with  pain  in  frontal  sinuses :  Sticta  p. 

Catarrhal  condition  in  head  with  fluent  coryza,  burn- 
ing and  a  marked  sensitiveness  to  inhaling  cold  air.  Raw 
throat :  Aesculus  hip. 

Catarrh,  chronic  sore  throat,  dryness  and  rawness, 
continued  hawking.  After  a  long  while  the  patient  raises 
a  little  thick,  tough  phlegm.  Warm  drinks  or  food  re- 
lieve temporarily;  clergymen's  sore  throat:  Alumnia. 

Post-nasal  catarrh  in  which  mucus  drops  continually 
in  the  throat;  but  especially  at  night  or  when  lying 
down:  Corallium  rubrum. 

Discharge  thick  and  bland,  if  indicated :  Sepia. 

Where  dry  crusts  form  in  nose  and  reform  if  removed : 
Borax  v. 

In  phlegmatic  subjects  if  indicated:  Pulsatilla. 


346 


In  dry,  thin  subjects  if  indicated:  Alumina. 

Where  there  is  agglutination  or  ulceration  of  nostrils 
and  nose  obstructed  and  filled  with  a  crust,  or  where 
there  is.  fetid  discharge.  Melancholy  disposition,  ten- 
dency to  suicide :  An  rum  met. 

CHOLERA,  CHOLERA  MORBUS,  CHOLERA 
INFANTUM. 

Bismuth  subnitrate :  Especially  in  cholera  infantum 
where  the  attack  comes  on  suddenly.  Stool  is  watery 
and  passed  without  pain.  Water  cannot  be  retained  and 
is  vomited  up  as  soon  as  it  reaches  the  stomach.  Face 
has  a  deadly  pallor  with  very  dark  rings  around  the  eyes. 
There  is  intense  thirst  and"  vomiting  of  seyere  nature. 
Skin  is  warm  and  may  be  covered  with  warm  sweats. 

Camphor:  Great  external  coldness,  stool,  if  any,  is 
painless.  Cramps  in  abdomen  and  extremities.  Al- 
though objectively  cold,  patient  does  not  want  to  be  cov- 
ered. 

Colocynthis:  Violent  cramps,  pressure  and  bending 
double  ameliorate  condition.  In  such  cases  this  remedy 
is  a  valuable  adjunct  to  other  indicated  remedies. 

Cuprum  met.:  Cramps  of  a  violent  nature. 

Kreosotum:  In  children  with  painful,  swollen  gums 
of  bluish  color,  with  decayed  teeth,  this  is  a  splendid 
remedy. 

Secale  cor.:  Patient  cold  to  the  touch,  still  cannot 
bear  to  be  covered. 

Tartar  emetic:  Intense  nausea  not  relieved  by  vom- 
iting, especially  if  there  is  very  loose  stool,  prostration 
and  even  coma.  Face  is  pale  and  in  severe  cases,  cyan- 
otic. 

Veratrum  album:  Cold  sweats  on  face  and  forehead, 
also  on  body.  Body  feels  cold  to  touch.  Breath  cold, 
great  prostration  and  collapse.  Evacuations  are  profuse. 

COLD  IN  GENERAL. 

To  correct  a  tendency  to  always  catch  cold  we  think 
of:  Hydrastis,  calcium,  carbo  veg.,  dulcamara,  graphites, 
nitric  acid,  sepia,  sulphur. 

Cold,  right  after  taking:   Xux  vomica. 


I'.ASIC    INDICATIONS    IX    SI'KCIAL  CONDITIONS  347 

Later:  Aconite,  chamomilla,  belladonna,  bryonia,  dul- 
camara. 

Cold  from  getting  wet :  Calcium,  dulcamara,  rhus  tox. 

With  acrid  discharge  from  nose:  Allium  cepa,  arsen- 
ic um  album,  kreosotum. 

COLIC  AND  CRAMPS. 

Colic,  alternate  with  vertigo :  Colocynthis,  spigelia. 

Resembling  labor  pains :  Pulsatilla,  chamomilla. 

Constant,  violent  pain  with  retraction  of  lower  ab- 
domen. Violent  spasmodic  pain,  constant  unsuccessful 
desire  to  urinate :  Aconite. 

Where  heat  gives  relief  in  cramping  pains:  Magnes- 
ium phos. 

Where  there  is  burning  and  pain  relieved  by  heat: 
Arsenicum  album. 

Pressure  relieves  pain,  especially  in  chronic  cases  and 
where  colocynthis  fails  we  think  of :  Stannum  met. 

Cramps  and  colic  with  sensation  of  fullness :  Lyco- 
podium,  china,  aesculus  hip. 

With  walls  of  abdomen  retracted :  Plumbum  acetate. 

Cramps  and  spasms,  especially  after  bodily  or  even 
mental  exhaustion,  spasmodic,  violent  griping:  Cuprum 
met. 

Cramp,  colic  and  congestive  pain  in  abdomen,  face 
red,  throbbing  carotid? :  Melilotus. 

Colic  from  exposure  to  cold  is  often  relieved  by  :  Dul- 
camara. 

Cramps  and  colic,  with  great  distention  of  abdomen, 
flatus  appears  to  radiate  from  one  place  to  another,  pass- 
ing of  same  giving  no  relief,  as  it  forms  again.  Much 
pressure  in  inguinal  region.  May  be  sensation  of  empti- 
ness, especially  in  the  head:  Cocculus  ind. 

Wind  colic  aggravated  by  bending  forward  or  double 
and  relieved  by  bending  backwards,  or  straightening  the 
body.  Much  pressure,  pain  generally  starts  in  region  of 
navel  and  radiate  all  over,  in  some  cases  even  to  the  ex- 
tremities :  Dioscorea  vil. 

Wind  colic,  heat  aggravates,  but  cold  does  not  relieve. 
A  green  stool  is  also  a  prominent  indication.  Patient  is 
generally  in  a  bad  mood :  Chamomilla. 


MATKRIA   MKDK'A   AND  CLINICAL   Til  KRAIMCUTICS 

Doubling  up  after  eating :  Bovista. 

Cramps  of  a  violent  nature,  doubling-  up  or  pressing 
against  something  hard  ameliorates  pain.  Colic  after 
eating,  after  anger,  or  colic  alternated  with  vertigo  with 
above  indications:  Colocynthis. 

Walks  around  to  get  relief,  cold  sweats,  especially 
forehead,  prostration,  bends  forward  to  ameliorate  pain  : 
Veratrum  album. 

Chronic  tendency  to  colic  or  cramps,  with  a  tendency 
to  sore  eyelids,  symptoms  similar  to  chamomilla  and 
colocynthis :  Staphisagria. 

Child  cries  continually,  especially  all  night,  with 
colic  pains :  Jalapa. 

Colic  and  cramps:  As  a  local  application  to  pit  of 
stomach  or  abdomen  and  between  the  shoulders,  Lloyd's 
libradol  will  generally  assist  the  internal  treatment.  This 
especially  where  a  relaxant  is  indicated.  Should  its  ap- 
plication produce  nausea,  remove. 

Colic,  Nephritic:  With  marked  smell  of  the  urine. 
Urine  that  may  be  in  clothing  scents  the  whole  body, 
even  the  room  :  Benzoic  acid. 

Colic,  Renal:  In  passage  of  renal  calculi,  pain  attend- 
ing the  passage  of  gravel,  especially  at  conclusion  of 
passing  urine.  Pain  is  almost  unbearable.  There  may 
also  be  tenesmus  of  bladder:  Sarsaparilla. 

CONSTIPATION. 

Aloe  socotrina  200  p.:  Inability  to  pass  stool,  still 
large  hard  chunks  sometimes  will  pass  away  unawares, 
sometimes  much  gurgling  or  rumbling  before  stool. 

Alumina:  Stool  adheres  to  the  anus  like  soft  clay. 
Inactivity  of  the  rectum,  especially  in  dry  spare  sub- 
jects. 

Ammonium  mur. :  Hard  dry  and  crumbling  feces, 
difficult  to  expel,  sometimes  covered  with  mucus  as  if 
greased. 

Antimonium  crudum:  Alternate  constipation  and  di- 
arrhoea. 

Aurum  and  natrum  mur.  1000:  Alternate  black  and 
white  stool. 


IJASIC   INDICATIONS  IN   SPECIAL  CONDITIONS  349 

Bryonia:  Where  the  cause  is  lack  of  secretion  of  in- 
testines, stool  hard  and  dry  as  if  burnt. 

Causticum:  Unsuccessful  desire  for  stool  with  much 
pain  and  straining  with  redness  of  face,  stool  passes  bet- 
ter when  standing,  sensation  of  rawness  and  soreness. 
Stool  often  covered  with  mucus  as  if  greased. 

Collinsonia:  Constipation  obstinate,  with  colic  on  ac- 
count of  it;  hemorrhoidal  condition,  piles  often  bleed,  a 
feeling  in  rectum  as  if  it  was  filled  with  sticks.  In 
chronic  constipation  where  patient  can  go  for  days  or 
weeks  without  even  desire  for  stool. 

Graphites:  Stool  knotty,  large  lumps  often  connected 
by  threads  of  mucus ;  mucus  often  follows  stool. 

Hydrastis  can.:  Chronic  with  dull,  aching  pain  in 
stomach,  a  gone,  weak,  faint  feeling  in  epigastrium; 
stomach  actually  sunken. 

Lycopodium:  Spasmodic  contraction  of  the  anus, 
which  prevents  stool. 

Magnesium  mur. :  Stool  hard,  slow  to  pass,  like 
sheep's  dung,  crumbling  away  at  anus. 

Natrum  mur.:  Stool  hard  and  unsatisfactory,  like 
sheep's  dung,  obstinate  retention  of  stool.  If  indicated. 

Nitric  acid:  Great  agony  after  passage  of  stool,  even 
if  soft,  has  to  walk  floor  in  agony  for  i  to  2  hours  after 
stool. 

Nux  vomica:  Impaired  and  irregular  peristalsis,  fre- 
quent and  ineffective  desire  to  defecate,  passing  but 
small  quantity  at  each  attempt. 

Phosphorus:  Stool  slender,  long,  dry,  tough  like  dog 
stool. 

Platina :  Stool  adheres  to  the  anus  like  soft  clay. 

Sepia:  Great  strain,  manual  aid  necessary  to  pass 
stool ;  sensation  as  of  ball  in  rectum.  Mostly  in  children. 

Silica:  Strains  very  hard  but  stool  only  will  protrude 
partly  and  then  slip  back,  appears  to  be  result  of  general 
weakness,  or  weakness  of  abdominal  muscles  and  rectum. 
General  weak  condition. 

Thuja  oc. :  Large,  black  balls,  large  stool,  partly  re- 
cedes again,  rumbling  in  abdomen  as  if  animal  was  in  it. 
Abdomen  puffed  up  irregular. 


35O  MATKRIA    A1KDICA   AM)  CLINICAL  Til  KUAI'Kl'TICS 

Veronica  off.  500,  200,  30:  Alternate  black  and  white 
stool. 

CONVULSIONS. 

Aethusa  cy. :  Fyes  turn  downwards,  a  sunken  ap- 
pearance of  face  with  a  pearly  whiteness  of  upper  lip  and 
a  white  line  from  angle  of  nose  to  angle  of  mouth.  In 
children  vomiting  of  curdled  milk. 

Argentum  nit. :  Hour  or  days  before  attack  pupils  are 
dilated,  convulsions  preceded  by  great  restlessness. 

Cicuta  v.:  Opisthotonos,  head  draws  backward,  con- 
vulsions violent  and  patient  violent. 

Cina:  During  dentition  with  symptoms  of  worms. 

Cuprum  met. :  Spasms  start  by  twitching  in  extrem- 
ities, toes  and  fingers  and  from  there  becomes  general. 
Marked  spasms. 

Gelsemium:  Prostration  all  over,  drooping  eyelids, 
general  trembling. 

Hyoscyamus:  General  twitching  all  over  and  the 
spasms  are  clonic. 

Ignatia  am.:  From  mental  emotion,  fright  or  fear. 
Coming  out  of  spasms  with  long,  drawn  sighs. 

CORYZA  IN  GENERAL. 

Dry:  Ammonium,  calcium,  lachesis,  mix  vomica,  sul- 
phur. 

Fluent :  Arsenicum  album,  allium  cepa,  euphrasia, 
mercurius,  pulsatilla,  sulphur. 

Secretion  acid:  Arsenicum  album,  mercurius. 

Greenish  :  Pulsatilla,  sepia. 

Offensive:  Calcium,  pulsatilla,  sepia,  silica,  sulphur. 

Yellow:  Bryonia,  carbo  veg.,  hydrastis,  pulsatilla, 
sepia,  sulphur. 

Arsenicum  album :  Acute,  discharge  fluent,  corroding 
nose  and  lips,  burns. 

Allium  cepa:  In  coryza  or  influenza  where  there  is 
sneezing  all  the  time,  worse  indoors,  discharge  of  eyes 
bland,  of  nose  acrid. 

Ammonium  carb. :  Dry,  stuffed  .up,  especially  at 
night,  expistaxis  while  washing  face.  Face  may  be 
bluish  red. 

Causticum:  Coryza  or  influenza  with  cough  and  tick- 


I'.ASIC    INDICATIONS   I\    Sl'KCIAL   CONDITIONS  35! 

ling  in  throat,  dry  cough,  some  expectoration  after  long 
cough.  Rawness  and  soreness  in  throat ;  burning  pain 
in  throat  not  aggravated  by  swallowing. 

Eupatorium  perf. :  Coryza  or  influenza  where  there  is 
aching  all  over. 

Euphrasia:  The  lachrymal  secretion  acrid  and  secre- 
tion of  nose  bland. 

Mercurius  vivus:  Sweating  does  not  relieve,  worse 
evenings  and  nights.  Odor  of  mouth  and  discharge  of 
nose  and  mouth  fetid.  In  fluent  coryza. 

Sambucus  nig.:  Snuffles  in  small  children.  The  dry 
variety.  Child  inspires  but  is  unable  or  can  only  expire 
with  difficulty. 

COUGH. 

Child  cries  before  paroxysm  as  if  sore:  Arnica. 

Result  of  enlarged  tonsils :  Baryta  carb. 

Xervous,  followed  by  eructation  of  wind  :  Ambra  g. 

Pain  in  head  when  coughing :  Capsicum. 

With  rawness  and  soreness.  Hoarseness  and  even 
temporary  loss  of  voice,  condition  better  in  wet  weather: 
Causticum. 

Worse  at  night,  but  cough  does  not  waken  patient ; 
tickling  in  throat :  Chamomilla. 

With  mucus  dropping  back  in  throat,  continued  hack- 
ing daytime,  whooping  nights:  Corallium  rub. 

Spasmodic,  with  constriction  in  chest  and  abdomen  : 
cough  after  measles :  Drosera. 

Cough  worse  during  the  day,  eyes  water,  in  coryza : 
Euphrasia. 

With  vomiting  of  food :  Bryonia,  ferrum  met.  or 
acetate. 

Suffocating,  child  may  become  cyanotic,  stiff:  Ipecac. 

Aggravated  or  starting  about  3  A.  A  I.:  Kali  carb. 

Aggravated  about  11  P.  M.  to  i  or  2  A.  M.  in  night 
especially  :  Arsenicum  album. 

Long  continued  cough  after  pneumonia  or  severe 
cold  :  expectoration  profuse  night  sweats  :•  Kali  iodide.  -  .  . 

Loose,  rattling, .yellow,  or  greenish  expectoration,  bet- 
ter in  open  air,  may  be  pain  in  head  and  chest  when 
coughing:  Natrum  sulph. 


352  MATKRJA  MEDICA  AND  CLINICAL  THERAPEUTICS 

During  sleep,  but  does  not  awaken  patient,  aggra- 
vated by  touching  throat,  sleeps  into  aggravation.  Sense 
of  constriction :  Lachesis. 

With  stitching  pain  in  chest  (pleurisy)  :  Bryonia. 

With  pain  in  upper  left  lung  through  to  left  shoulder: 
Myrtus  com. 

Loose,  with  severe  pain  through  left  chest,  especially 
below  nipple :  Natrum  sulph. 

With  great  hoarseness,  can  hardly  talk,  worse  even- 
ing and  fore  part  of  night,  tries  to  suppress  cough.  Good 
in  latter  stages  of  hepatization  :  Phosphorus. 

With  copious  expectoration,  purulent,  with  marked 
weakness :  Phosphoric  acid. 

Dry  with  stitching  pain  through  left  lung  below  nip- 
ple ;  inhaling  cold  air  aggravates :  Rumex  c. 

Loose  with  offensive  sputum  often  after  pneumonia : 
Sanguinaria. 

With  much  rattling  of  mucus,  difficult  breathing: 
Senega. 

Dry  from  organic  heart  trouble :  Spongia  t. 

Dry  nose,  dry  cough,  worse  at  night,  restless  :  Sticta  p. 

With  great  accumulation  of  mucus  with  coarse  rat- 
tling, unable  to  raise  it,  patient  may  be  drowsy :  Tartar 
emetic. 

Barking  and  hollow:  Belladonna,  drosera,  hepar 
sulph.,  sambucus  nig.,  spongia  t,  tartar  emetic,  veratrum 
album. 

Hacking:  Aconite,  calcium,  causticum,  lachesis,  dul- 
camara, mercurius.  muriatic  acid,  sulphuric  acid,  sulphur, 
zincum  met. 

Panting:  Muriatic  acid,  sulphuric  acid. 

Spasmodic:  Belladonna,  bryonia,  carbo  veg.,  cuprum 
met.,  hyoscyamus,  veratrum  album,  cina,  ipecac,  mer- 
curius, magnesium  phos.,  mix  vomica,  pulsatilla,  sambu- 
cus nig. 

Tickling:  Chamomilla,  sanguinaria,  cimicifuga,  phos- 
phorus, nux  vomica,  lachesis,  bryonia,  causticum! 

Vomiting  or  retching:  Bryonia,  carbo  veg.,  ipecac, 
pulsatilla,  nux  vomica,  hepar  sulph.,  tartar  emetic,  dro- 
sera, veratrum  album. 


IIASIC    INDICATIONS    IX    Sl'KCIAL   CONDITIONS  353 

Wheezing:  Kreosotum,  senega,  spongia  t.,  tartar 
emetic. 

Night  only:  Rhus  tox.,  mercurius,  pulsatilla,  aconite, 
belladonna,  chamomilla,  graphites,  hyoscyamus,  cimici- 
fuga,  drosera.  tartar  emetic,  mix  vomica,  stannum  met. 

As  from  dust:  Arsenicum  album,  ignatia  am.,  pulsa- 
tilla. 

Day  time  only:  Euphrasia,  lachesis,  belladonna,  bry- 
onia,  calcium,  stannum  met. 

In  bed:  Arsenicum  album,  calcium,  kreosotum,  pe- 
troleum, mercurius,  natrum  mur.,  pulsatilla,  stannum 
met. 

In  cold  air:  Arsenicum  album,  ipecac,  lachesis,  nitric 
acid,  phosphorus,  rhus  tox.,  sulphur. 

From  inhaling  cold  air:  Phosphorus,  spongia  t., 
rumex  crispus. 

When  drinking:  Arsenicum  album,  bryonia,  hepar 
sulph.,  lachesis,  squill. 

When  lying  down:  Arsenicum  album,  hyoscyamus, 
pulsatilla,  sulphur. 

Lying  on  back:  Nux  vomica,  phosphorus. 

With  head  low:  Ammonium  mur. 

Lying  on  left  side:   Ipecac,  ptelea. 

On  right  side:  Ammonium  mur.,  stannum  met. 

From  accumulation  of  mucus:  Kreosotum. 

Relieved  by  swallow  of  cold  water:  Causticum. 

When  sleeping :  Arnica,  calcium,  chamomilla,  lach- 
esis, mercurius. 

When  pressing  on  pit  of  stomach:  Caladium. 

Cough  with  suffocation  or  paroxysms  of  suffocation: 
Cina,  cuprum  met.,  drosera,  hepar  sulph.,  ipecac,  lachesis, 
sambucus  nig.,  spongia  t.,  tartar  emetic. 

Dry:  Aconite,  belladonna,  bryonia,  capsicum,  cham- 
omilla, cina,  drosera,  hepar  sulph.,  hyoscyamus,  ignatia 
am.,  lachesis,  lycopus  v.,  mercurius,  natrum  mur.,  nux 
vomica,  phosphorus,  rhus  tox.,  spongia  t.,  sticta  p.,  sul- 
phur. •  .  .-. 

Loose  cough  with  copious  expectoration:  Brypnia. 
calcium,  cannabis  s.,  carbo  veg.,  causticurn,  cuprum  met.,- 
dulcamara,  kali,  lycopus  v.,  mercurius,  natrum  mur., 


354  MATKKIA    MEDIC  A    AND  CLINICAL   TI I  KKAl'iaTTlCS 

phosphorus,  pulsatilla,  senega,  sepia,  silica,  stannum  met., 
sulphur,  tartaricum. 

Fetid  expectoration:  Arsenicum  album,  calcium,  cap- 
sicum, ledum  p.,  stannum  met.,  sulphur. 

Difficult  expectoration  with  cough:  Arnica,  arseni- 
cum  album,  bryonia,  borax  v..  china,  daphne  ind.,  fcrrum, 
kali  mur.,  laurocerasus,  sabina. 

Difficult  expectoration  without  cough:  Arnica,  mix 
vomica,  silica,  ruta  g. 

Difficult  expectoration  of  what  cough  has  loosened: 
Arnica,  causticum,  tartar  emetic. 

Cough  from  getting  cold:  Allium  cepa,  belladonna, 
chamomilla,  carbo  veg.,  dulcamara,  euphrasia,  hepar 
sulph.,  nitric  acid,  mix  moschati,  pulsatilla,  sticta  p. 

Evening:  Arsenicum  album,  calcium,  capsicum,  cim- 
icifuga,  drosera,  hepar  sulph.,  mercurius,  nitric  acid,  pul- 
satilla. 

Early  morning:  Arsenicum  album,  china,  causticum, 
euphrasia,  kali  bichrom.,  lycopus  v.,  natrum  mur.,  mix 
vomica,  pulsatilla,  sulphur. 

When  moving:  Arsenicum  album,  bryonia,  china, 
drosera,  ferrum,  lachesis,  mix  vomica,  pulsatilla. 

Coughing  hard  hurts  head,  person  holds  head  with 
both  hands  as  it  hurts  him  so  to  cough:  Bryonia,  capsi- 
cum, eupatorium  perf.,  natrum  sulph. 

Coughing  hurts  so  in  chest  that  patient  jumps  up  and 
holds  chest  with  both  hands:  Bryonia,  eupatorium  perf.. 
natrum  sulph. 

CROUP. 

Aconite:  The  remedy  first  thought  of  if  aggravated 
in  dry  cold  air.  Marked  fear  of  spasm  of  cough. 

Hepar  sulph.:  Wheezing  .  and  rattling  of  mucus; 
cough  loose  as  if  mucus  would  come  up  but  does  not.  Jt 
is  generally  indicated  after  aconite  or  s;>ongia.  Cold  air 
aggravates. 

lodium  :  Wheezing, 'dry,  barking  cough,  holds  throat 
with  both  hands  when  coughing. 

\  Lachesis:  Child  gets  worse  in  sleep.  Marked  sense 
of^xdnstriction  and  suffocation,  seems  to  sleep  into  at- 
tack. 


I'.ASIC    INDICATIONS    IN    SI'KCIAL   CONDITION^  355 

Phosphorus:  Often  indicated  after  aconite  or  spon- 
gia,  if  there  is  hoarseness  in  the  evening  with  inclination 
to  relapse  and  there  is  involvement  of  the  lungs. 

Spongia  t. :  Comes  on  with  excitement,  high  fever, 
result  of  exposure  to  cold  air  or  winds.  Severe  parox- 
ysms, sloops  into  paroxysms.  In  all  severe  cases  it  is 
better  to  apply  to  chest  and  around  neck  Lloyd's  libra- 
dol.  A  general  internal  remedy  that  is  very  valuable  is 
Abbott's  iodized  calcium  in  y%  grain  doses  dissolved  in 
a  little  water  every  5  to  10  minutes  until  easier,  then  at 
longer  intervals  and  in  smaller  doses. 

DELIRIUM,  MAIN  REMEDIES. 

Apis  mel.,  arsenicum  album,  baptisia,  belladonna,  gel- 
somium,  helleborus  n.,  hyoscyamus,  lachesis,  phosphorus, 
phosphoric  acid,  rhus  tox.,  stramonium. 

Belladonna:  Face  red,  eyes  may  bo  bloodshot.  IHood 
rushing  to  head  while  extremities  may  be  cool.  Persis- 
tent wild  delirium,  although  there  may  be  at  times  stupid 
condition.  Starts  and  jumps  when  falling  asleep  or 
awakening1. 

Helleborus  n. :  In  advanced  brain  disease.  Head 
rolling  from  side  to  side.  Stupidity,  forehead  wrinkled, 
with  cold  sweats,  jaws  move  as  if  chewing,  continued 
movement  of  one  arm  and  leg,  while  the  other  side  is  per- 
fectly quiet.  Pupils  are  dilated  and  patient  often  is  in- 
sensible or  only  partly  sensible  of  what  is  going  on 
around  him,  urine  scanty  or  suppressed. 

Hyoscyamus:  There  may  be  violent  delirium  but  if 
so  it  alternates  with  low  form  and  in  most  cases  the  latter 
only  is  present.  Patient  is  pale,  weak,  weakness  in- 
creases although  there  may  be  momentary  violent  out- 
breaking. Generally  does  not  move  much  but  picks 
and  reaches  out. 

Lachesis:  Low  muttering  worse  after  sleep  or  sleep- 
ing into  it. 

Phosphorus:  Better  after  sleep. 

Stramonium:  Ravings  terrible,  often  wildly,  loqua- 
cious. Singing,  whistling,  laughing,  screaming,  praying, 
swearing,  turns  in  all  kinds  6f  shape,  often  will  all  of  a 
sudden  jerk  up  head  from  pillow.  Later  pupils  may 


MATERFA   MEDICA  AND  CLINICAL  THERAPEUTICS 

dilate,  there  is  loss  of  sight  and  hearing  and  speech  ;  pa- 
tient drenched  in  sweat.     Death  from  exertion. 

DIARRHOEA,  DYSENTERY,  ETC. 

Aloe:     Great  rumbling  in  bowels  just  before  stool. 

Antimonium  crudum:  Alternate  with  constipation, 
especially  in  old  people.  From  wrongs  in  diet  and  es- 
pecially in  heat  of  summer,  stools  partly  solid  and  partly 
fluid./ 

Argentum  nit.:  Apprehension  brings  on  diarrhoea, 
sputtering  of  stool  with  much  noisy  flatus. 

Bismuth  subnitrate:  Diarrhoea  coming  on  suddenly, 
with  intense  thirst,  water  vomited  up  as  soon  as  swal- 
lowed, restlessness.  Weak  and  pale  :  skin  warm  and  may 
be  covered  with  warm  sweats. 

Borax  v. :  Greenish  stool  day  and  night  with  aphthie. 

Bryonia:  Morning  aggravation,  after  patient  begins 
to  move. 

Calcium  phos. :  Sputtering  of  stool  with  much  noisv 
flatus. 

Chamomilla:  Green,  slimy  stool  smelling  like  rotten 
eggs.  Especially  during  dentition. 

Colchicum:  Symptoms  aggravated  from  sundown  to 
sunrise.  Smell  of  cooking  nauseates  to  fainting. 

Colocynthis:  With  cramps. 

Croton  tig.:  Yellow,  watery  stool,  coming  out  like 
a  shot,  least  food  or  drink  aggravates. 

Dulcamara:  From  taking  cold  or  from  sudden  change 
to  cold  weather  from  warm.  From  damp  weather. 

Gelsemium  sod:  Diarrhoea  on  excitement  such  as  sud- 
den emotion,  bad  news,  fright,  anticipation  of  something 
unusual,  etc. 

Mercurius:  Tenesmus  all  the  time,  a  never  get  done 
feeling. 

Natrum  sulph. :  Morning  aggravation,  after  patient 
begins  to  move. 

Nitric  acid:  Great  pain  after  passage  of  stool,  has  to 
walk  the  floor  for  hours  in  agony. 

Nuphar:  Morning  aggravation. 

Nux  vomica:  Generally  worse  in  morning,  mostly 
from  overeating.  Of  slimy  mucus  and  blood,  small  and 


HAS  1C    INDICATIONS   IN    SIM'.CIAL   CONDITIONS  357 

unsatisfactory ;  pain  greatly  relieved  a  short  time  after 
each  stool. 

Oleander:  Diarrhoea  from  undigested  food,  involun- 
tary stool  when  emitting  flatus. 

Phosphorus:  Stool  profuse,  watery;  pouring  away  as 
if  from  a  hydrant  with  lumps  of  white  mucus  like  grains 
of  tallow,  bloody  stool  with  white  particles  like  opaque 
frog  spawn.  Dysentery  with  wide  open  anus. 

Phytolacca:  Child  wants  to  bite  its  gums  on  every- 
thing it  can  get  a  hold  of,  with  diarrhoea. 

Podophyllum:  Morning  aggravation.  Profuse,  of- 
fensive, aggravated  in  morning  and  hot  weather. 
Child  wants  to  bite  its  gums  on  everything  it  can  get 
hold  of. 

Pulsatilla :  Generally  worse  in  the  night,  mostly  from 
overeating. 

Rumex  crispus:  Morning  aggravation. 

Rheum:  Sour  stool,  child  smells  sour  also. 

Staphisagria :  Diarrhoea  aggravated  by  the  least  food 
or  drink. 

Sulphur:  Morning  aggravation,  drives  patient  out  of 
bed. 

Thuja  oc. :  Forcibly  expelled,  copious,  gurgling  like 
water  from  a  bunghole.  Diarrhoea  from  vaccination. 

DIPHTHERIA. 

It  is  not  the  object  of  the  writer  to  give  a  full  treatise 
on  diphtheria,  still  an  outline  of  the  form  of  treatment 
which  will  generally  save  the  patient  where  other  means 
fail,  will  no  doubt  be  welcomed  by  all  well  wishers  of 
humanity. 

Lachesis  12  or  3od  is  our  best  remedy,  especially  if 
mucous  surface  of  the  throat,  not  covered  by  the  mem- 
brane, is  of  a  bluish  red  color,  and  if  the  membrane  first 
started  on  the  left  side.  However,  it  is  one  of.  our  best 
rc'mcdies  in  any  form.  May  be  given  in  6  to  10  drops  in  2 
ounces  of  water,  l/>  to  i  teaspoonful  every  2  hours.  If 
throat  is  much  swollen  apis  2d  gtt.  v  to  viii  added  to 
above  will  make  it  more  effective. 

Lloyd's  specific  echinacea  3  to  4  drachms ;  Lloyd's 
specific  phytolacca  2  drachms  and  kali  mur.  3x,  v  to  vi 


358  .AI  \Tr.RIA    M!-:i)ll'A    AND   CLINICAL   TI I  KRA  I'KL'TI  CS 

grains  in  2  ounces  of  water,  }/2  to  T  teaspoonful  every  2 
hours  to  alternate  with  above,  thus  giving  the  patient  a 
dose  of  medicine  every  hour,  will  assist  lachesis  and  apis 
in  bringing  about  a  rapid  cure. 

In  severe'  cases  a  dose  of  medicine  may  be  given  every 
1/2  hour;  }A  hour  one  and  the  next  l/2  hour  the  other. 

In  some  cases,  where  prominently  indicated,  lycopo- 
diiim  I2d  or  mercurius  vivus  3od  are  very  good  remedies. 
Sanguinaria  nit.  6x  is  recommended  and  has  proven  to 
be  a  valuable  adjunct  to  other  remedies  in  many  cases. 

Depressants  should  be  avoided  as  well  as  harsh  phy- 
sics. The  recumbent  position  should  be  maintained  as 
long  as  possible,  especially  in  severe  cases.  Tonics  and 
stimulants  should  be  given  as  indicated.  Any  danger  of 
paralysis  can  be  met  by  argentum  nit.  3od. 

In  all  cases  as  the  patient  gradually  improves  give 
medicine  at  longer  intervals  and  in  smaller  doses.  Al- 
though with  above  treatment  local  applications  are  not 
necessary,  at  times  they  will  assist  the  constitutional  rem- 
edies, in  which  case  papain  (L.  &  F.)  in  glycerine  with 
a  little  carbolic  acid  added  is  the  best  we  can  use.  This 
can  be  applied  to  the  parts  every  2  to  3  hours  to  advan- 
tage. 

DEBILITY  IN  GENERAL. 

Argentum  nit.,  carbo  veg.,  china,  gfelsemium,  hclonias, 
kali  carb..  selenium,  zincum  met. 

DIABETES. 

Lactic  acid:  With  rheumatic  pains  in  joints,  great 
thirst  and  hunger.  Urine  profuse,  with  large  quantity  of 
sugar. 

Natrum  mur. :  Hunger  and  intense  thirst,  (/raving 
for  salt  and  salty  food.  Eats  well,  but  still  emaciates. 

DROPSY. 

Apocynum:    In  general  dropsy.     See  part  L 

Acetic  acid:  With  .marked  thirst. 

Arsenicum  album:  With  marked  thirst,  but  only 
drinks  a  little  at  a  time. 

Apis  mel. :  In  general  or  local  dropsy  without  thirst. 
Swelling  of  lower  eyelids. 


BASIC    INDICATIONS    IN    SPKCIAL   CONDITIONS  359 

Convallaria :  In  general  dropsy,  result  of  weak  heart 
or  heart  trouble. 

Digitalis:  In  general  dropsy,  result  of  weak  heart  or 
heart  trouble. 

Kali  carb. :  Mostly  in  anjemic  conditions  with  swel- 
ling of  upper  eyelids. 

Phosphorus:  At  times  a  valuable  adjunct  to  control 
fatty  degeneration.  A  few  doses  a  week  are  sufficient. 

Note:  If  dropsy  is  the  result  of  portal  obstruction,  see 
ceanothus,  carduns  in.,  chelidonium  and  polymnia  u.  See 
part  1. 

ECZEMA. 

Calcarea  ost. :  If  indicated,  by  temperament,  etc.,  it  is 
a  fine  remedy  where  we  have  the  milk  crust  in  children, 
eczema  capitis. 

Causticum :  Eczema   with   rawness  or  soreness. 

Cicuta  virosa:  Eczema  pustules  running  together 
forming  thick  scab  of  yellowish  color.  Eczema  capitis. 

Croton  tig.:  Especially  of  scrotum  where  eruption 
itches  intensely,  but  is  so  sensitive  and  sore  to  touch  that 
patient  cannot  scratch.  In  such  cases  we  think  of  above 
remedy. 

Graphites:  Eczema  or  eruptions  oozing  a  thick  honey 
like  fluid. 

Natrum  mur. :  Raw  and  inflamed,  worse  at  edges  of 
hair. 

Petroleum,  high  potency  best :  Eczema  or  eruptions 
that  are  bad  in  winter  and  get  better  or  well  in  summer. 
Slightest  abrasion  of  the  skin  suppurates.  Chilblains 
moist,  burn  and  itch  much  in  cold  weather. 

Rhus  tox. :  Eczema  of  vesicular  type,  itch  very  much 
and  not  much  relieved  by  scratching.  Burning,  some- 
times stinging. 

Sulphur:    Burning  and  itching. 

EPILEPSY. 

Arsenicum  album  i2x:  Where  there  is  burning  in 
stomach,  patient  throws  up  arms  and  finally  falls  down 
as  if  dead. 

Belladonna  6d:  Coming  on  from  fright. 

Causticum  i$d:   Right  side  mostly  involved.     Attacks 


360  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

come  on  generally  in  the  night,  generally  after  taking 
cold. 

Chamomilla  sd :  From  anger.  (To  be  used  with  other 
indicated  remedies.) 

Cicuta  virosa  3od:  Opisthotonos,  spasm  very  violent 
and  patient  as  violent  as  the  spasm. 

Cina  3od :  If  the  attacks  are  the  result  of  worms. 

Cuprum  met.  12x1  Where  the  face  is  red,  opisthoto- 
nos,  generally  comes  on  at  menstrual  period,  spasm  be- 
gins with  twitching  in  ringers  and  toes,  from  this  spread- 
ing over  the  body. 

Hyoscyamus  3d:  Face  dark  red  or  bluish,  pupils  di- 
lated, deep  sleep  after  the  attack  is  over. 

Ignatia  am  3d:  From  grief  or  trouble.  (To  be  used 
with  other  indicated  remedies.) 

Lachesis  3od:  Left  side  mostly  affected,  confused 
mind  before  attack,  impaired  or  loss  of  memory. 

Oenanthe  crocata  i  d:  Where  there  is  rush  of  blood 
to  the  head,  attack  coming  on  suddenly  without  warning. 
A  valuable  remedy  if  continued  for  some  time.  If  it  pro- 
duces headache  reduce  dose.  If  any  nervousness  is  no- 
ticed before  the  attack  give  a  few  extra  doses. 

Pulsatilla  3d:  Where  face  is  pale  and  menses  are  sup- 
pressed. 

Silica  i2x:  Those  coming  on  at  new  moon  and  es- 
pecially at  night. 

Stramonium  i2d:  If  the  attacks  are  very  furious. 

Sulphur  6x:  If  the  attacks  are  the  result  of  suppressed 
eruptions. 

Solarium  car.:  Recommended  in  epilepsy;  but  especi- 
ally in  the  female  where  the  attack  comes  on  at  the  men- 
strual period.  It  needs  further  investigation. 

Teucrium  marum  3od:  If  result  of  ascarides  or 
growths  in  any  part  of  the  body  of  the  nature  of  a 
polypus. 

GONORRHOEA. 

The  remedy  mostly  indicated  in  the  acute  stage  is 
cannabis  sativa.  Others  that  may  be  indicated  may  be 
alternated  with  above. 

After  the  acute  stage  has  passed  and  discharge  be- 


BASFC   INDICATIONS  IN   SPECIAL  CONDITIONS  361 

come  thick  and  greenish  mercurius  3od  or  pulsatilla  2d 
will  generally  correct  the  condition. 

If  a  scanty,  thin  discharge  remains  sepia  I2d,  kali 
iodide  3x  or  sulphur  6x  will  correct. 

If  there  is  marked  burning  in  gonorrhoea  in  the  latter 
stage,  capsicum  is  to  be  remembered. 

Involvement  of  the  testicles,  inflammation  and  swell- 
ing as  a  result  or  suppression  of  gonorrhoea,  pulsatilla  or 
thuja  oc.  are  the  remedies. 

In  any  tendency  to  stricture  clematis  erecta  is  a  use- 
ful adjunct  as  well  as  for  suppressed  gonorrhoea  where 
testicles  become  large,  swollen  and  hard. 

As  constitutional  remedies  to  alternate  with  any  of 
the  above  remedies  tincture  of  echinacea  and  kali  mur. 
3x  are  very  useful  in  fair  sized  doses.  A  much  better  and 
safer  way  to  treat  gonorrhoea  than  by  the  old  method 
of  injecting.  Do  not  give  these  remedies  too  often  or  too 
strong.  If  they  increase  trouble  reduce  dose  */£  or  more. 
A  dose  of  medicine  2  to  3  times  a  day  is  sufficient. 

GOITRE. 

lodium:  Give  in  small  doses,  high  potency  for  a  week, 
then  discontinue  for  2  or  3  weeks  and  again  give  for  a 
week,  etc. 

Lapis  albus:  Give  high  potency  and  not  too  fre- 
quently. Especially  indicated  where  there  are  burning 
and  shooting  pains. 

Spongia  tosta:  In  goitre  where  there  is  a  sense  of 
suffocation  after  awakening  from  sleep. 

HAY  FEVER. 

Arundo  mauritanica  3d  is  claimed  to  be  a  fine  remedy. 
Lachesis  200  p.  is  a  good  remedy.  The  1000  or  2Ooop. 
often  acts  better. 

HEMORRHOIDS. 

Aesculus  hip.:  Feels  as  if  rectum  was  filled  with 
sticks.  Hemorrhoids  as  a  rule  do  not  bleed;  but  there 
is  great  soreness,  aching  and  pain  in  the  back.  As  a  rule 
no  constipation. 


362  MATKIUA    MKDICA   AND  (TJXICAL  THERAPEUTICS 

Aloe:  Rectum  conies  out  like  a  bunch  of  grapes,  color 
blue,  itches  intensely.  Relieved  by  cold  applications. 

Antimonium  crudum:  Mucous  hemorrhoids  where 
there  is  a  continual  oozing-  of  mucus,  staining  under- 
wear. 

Causticum:  Swollen,  itching,  smarting  rawness, 
stinging,  burning,  and  soreness.  Aggravated  when  walk- 
ing, talking  or  thinking  about  them. 

Cpllinsonia :  Feels  as  if  rectum  was  full  of  sticks; 
piles  often  bleed  continually.  Constipation  with  colic  at 
times  as  a  result. 

Muriatic  acid:  Relieved  by  hot  applications,  very  sore 
and  sensitive  to  touch.  Blue  color  of  the  hemorrhoids. 

Nitric  acid:  They  protrude,  crack,  bleed  and  are  very 
sore.  Severe  pain  after  each  stool. 

HEMORRHAGES. 

Acid  acetic:  From  every  outlet  of  the  body,  the  re- 
sult of  decomposition  of  the  blood,  a  condition  found  in 
many  forms  of  fevers,  especially  in  the  tropical  regions. 

Acid  sulphuric:  From  all  outlets  of  the  body.  There 
may  form  under  the  skin  ecchymosed  spots,  showing  that 
even  the  capillaries  break  down.  Sense  of  internal  trem- 
bling. Weak  and  prostrated  condition  of  patient  as  a 
rule. 

Alumina:  Blood  in  large  clots  like  pieces  of  liver,  in 
typhoid. 

Carbo  veg. :  In  weak  patients  very  much  debilitated, 
pale  even  before  hemorrhage.  It  appears  as  if  tissues  are 
not  strong  enough  and  are  so  relaxed  as  to  let  the  blood 
ooze  out.  Collapse,  "want  to  be  fanned"  condition. 

Ipecac:  Active  hemorrhage  from  any  outlet  of  bodv. 
l»lood  bright  red  and  profuse. 

Phosphorus:  In  purpura  haemorrhagica.  The  blood 
so  broken  down  that  it  will  not  clot. 

Sabina:  Uterine  hemorrhages  worse  from  motion, 
coming  on  in  paroxysms  with  pain  running  from  back  to 
pubes.  Feels  better  in  open  or  cold  air. 

Secale  cor.:  Useful  in  passive  hemorrhage  from  all 
outlets  of  the  body  and  especially  useful  in  weak,  thin 


BASIC    INDICATIONS  IN   SPECIAL  CONDITIONS  363 

and  scrawny  women  with  lax  muscular  fibers.     Although 
cold  to  touch  they  cannot  bear  to  be  covered. 

LOCOMOTOR  ATAXIA. 

Alumina,  argentum  nit.,  causticum,  conium  m.,  phos- 
phorus, silica.  Any  of  the  above  remedies  if  indicated 
may  be  of  service  in  this  trouble. 

MIND  SYMPTOMS  IN  GENERAL. 

Absence  of  mind:  Anacardium  o.,  kreosotum,  lach- 
esis,  mercurius,  natrum  mur. 

Anxiety,  spells  of:  Aconite,  arsenicum  album,  bella- 
donna, chamomilla,  ignatia  am.,  nux  vomica,  pulsatilla. 

Contradiction,  tendency  to:  Causticum,  ferrum  ace- 
tate or  met. 

Contradiction  internal,  mental:  Anacardium   o. 

Cowardice:  As  a  result  of  sickness  or  nervous  condi- 
tion :  Baryta  carb. 

Cross  and  ugly:  Chamomilla,  cina,  colocynthis,  nux 
vomica,  staphisagria. 

Depressed  remedies:  Causticum,  cocculus  ind.,  pulsa- 
tilla, sepia,  silica. 

Fear  of  death:  \Yhen  physical  symptoms  disappear 
mind  symptoms  appear  and  vice  versa.  Changeable, 
moody,  gay  or  sad:  Platina. 

Fear  of  death,  especially  in  fevers :  Aconite. 

Fitful,  changing  moods  and  dispositions:  Aconite, 
crocus  sativus,  ignatia  am.,  platina. 

Hypochondriasis :  Anacarditnn  o.,  aurum,  argentum 
nit.,  conium  m.,  eupatorium  perf.,  kali  brom.,  natrum 
mur.,  nux  vomica,  phosphoric  acid,  spongia  t.,  staphis- 
agria. 

Globus  hystericus:  Asafcetida,  belladonna,  ignatia 
am.,  lachesis,  platina,  sepia. 

Memory,  loss  of:  Anacardium  o.,  baryta  carb.,  lyco- 
podium,  natrum  mur.,  sulphur. 

Thoughts,  vanishing:  Camphor,  cannabis  ind.,  lach- 
esis, nux  moschata. 

Weak  memory  in  general  from  fatigue  of  mental 
labor:  Aurum,  calcium,  lachesis,  natrum  mur.,  nux  vom- 
ica, phosphoric  acid,  pulsatilla,  silica. 


364  MATERIA   MKDICA   AX!)  CLINICAL   Til  KRAI'KUTICS 

Headache  or  other  conditions  aggravated  by  the  least 
mental  exertion :  Argentum  nit.,  natrura  carb.,  sabadilla. 
Mind  symptoms: 

Aconite:  Fear  of  death,  a-ttacks  of  anxiety.  Anger, 
the  result  of  fright  or  fear.  Conditions  resulting  from 
fright  or  fear. 

Anacardium  orientale:  Loss  of  memory,  especially  in 
old  people  that  are  broken  down  in  health.  There  is  de- 
sire to  curse  and  swear,  which  they  cannot  resist.  Patient 
seems  to  have  two  wills ;  one  will  command  him  to  do 
one  thing,  the  other,  another. 

Antimonium  crudum:  Child  cross,  does  not  want  to 
be  touched  or  even  looked  at,  will  cry  and  scream  at 
every  little  attention  paid  to  it.  This  applies  to  grown 
people  to  some  extent.  In  grown  people  there  may  be 
a  tendency  to  commit  suicide,  the  result  of  digestive 
wrongs. 

Argentum  nit.:  The  sight  of  high  houses  makes  pa- 
tient dizzy,  often  makes  him  stagger.  It  appears  to  him 
that  the  houses  on  both  sides  of  the  street  lean  toward 
him  or  are  about  to  approach  and  crush  him.  He  dreads 
to  pass  a  street  corner  for  fear  that  he  will  run  against 
the  corner  of  a  house,  as  it  seems  to  project  so  far.  Is 
very  impulsive,  cannot  help  but  walk  fast.  Hurried  feel- 
ing;  this  may  be  result  of  wrongs  of  the  sexual  organs. 

Arsenicum  album:  Mental  and  physical  restlessness 
is  very  marked,  still  is  too  weak  to  toss  about;  a  feeling 
as  if  there  is  no  hope,  it  is  useless  to  take  medicine. 
Wants  to  continually  change  places  even  if  there  is  no 
pain,  can't  keep  still,  wants  to  be  moved  or  if  strong 
•enough  walks  about. 

Marked  anxiety,  restlessness  and  weakness.  May  be 
a  tendency  to  commit  suicide  but  hesitates.  Much  anx- 
iety nights. 

Aurum  met.:  This  remedy  is  indicated  where  there  is 
a  strong  tendency  to  commit  suicide.  Patients  look  at 
the  dark  side  of  life,  will  weep  and  pray  and  think  that 
they  are  not  fit  for  this  world.  Patient  is  in  despair,  life 
seems  to  be  a  burden  and  death  seems  to  be  the  only  re- 
lief. Suicide  is  continually  in  their  minds.  In  men  this 
mental  condition  is  often  connected  with  liver  trouble 


BASIC   INDICATIONS  IN   SPECIAL  CONDITIONS  365 

« 

and  in  women  with  uterine  trouble.  Religious  melan- 
choly with  a  desire  to  die  or  commit  suicide. 

Baptisia:  Weak,  drowsy,  mind  confused  and  senses 
so  blunted  that  patient  will  fall  asleep  before  he  can 
answer  a  question,  or  may  fall  asleep  in  the  middle  of  an 
answer.  As  condition  goes  on  he  mutters,  tosses  about 
trying  to  get  himself  together  as  he  feels,  as  if  he  is 
scattered  all  over  the  bed.  This  is  a  typhoid  condition. 

Belladonna :  In  acute  diseases  with  wild  delirium,  pa- 
tient imagines  he  sees  wild  animals,  insects,  etc.,  laughs, 
screams,  gnashes  teeth,  bites  and  strikes,  wants  to  run 
away,  is  afraid  of  imaginary  things.  Hard  to  control. 
This  where  blood  rushes  to  the  head.  In  other  general 
conditions  sensitive  to  cold,  wants  head  wrapped  up, 
gets  cold  from  having  hair  cut  or  head  uncovered.  Bel- 
ladonna patients  often  have  attacks  of  anxiety. 

Causticum:  Melancholy,  sadness,  looks  on  the  dark 
side  of  life.  Hopelessness.  This  melancholy  disposition 
may  be  the  result  of  sorrow,  grief,  anxiety,  and  care;  of 
trouble,  business  or  worry.  This  disposition  may  be  al- 
ternated with  an  irritable  or  hysterical  condition. 

Chamomilla:  Feels  mean,  cross,  snappish,  but  cannot 
help  it.  For  conditions  the  result  of  anger  this  is  a 
splendid  remedy.  The  child  is  cross,  wants  things  only 
to  reject  them  if  handed.  In  adults  we  find  that  they  are 
cross,  ugly,  snappish  and  even  spiteful.  Patient  knows 
it,  admits  his  fault,  begs  pardon,  promises  not  to  act  so 
any  more  :  only  to  repeat  the  offense. 

Cimicifuga:  Nervous  symptoms,  chilliness  without 
coldness,  fainting,  talk  uninterrupted,  changing  subject 
often.  There  is  a  gloomy  disposition,  sighs,  and  feels 
grieved  and  troubled.  Thinks  that  he  will  lose  his 
reason. 

Coff ea  cruda :  Nervous  conditions  calling  for  coffea 
cruda  are  that  all  senses  are  more  acute  than  normal. 
Activity  of  body  and  mind,  full  of  fancies  and  plans  for 
the  future,  quick  to  act;  smell,  taste  and  touch  all  are 
more  acute  than  usual.  There  -is  sleeplessness  on  that 
account.  In  pain,  cannot'- .bear  .pain,  there  is  great, 
anguish.  If  in  coffee  drinkers  we  would  have  to  give 
chamomilla. 


366  MATI^RIA   MEDICA  AND  CLINICAL   'I'll  KRAI'KTTI  CS 

Crocus  sativus:  Patient  is  alternately  cheerful  or  de- 
pressed, hysterical.  Sings,  dances,  jumps,  laughs,  loves 
and  wants  to  kiss  everybody  as  Nash  says.  Again  when 
depressed  cries,  often  flies  into  a  fit  of  rage,  abuses  and 
is  uncivil  to  friends.  Sensation  as  if  there  was  some- 
thing hopping-  in  the  chest,  stomach  or  uterus,  which 
latter  is  many  times  mistaken  for  pregnancy. 

Helleborus  niger:  In  severe  acute  diseases.  Head 
rolls  from  side  to  side,  patient  is  stupid,  there  are  cold 
sweats;  motion  of  jaws  as  if  chewing;  pupils  dilated  and 
patient  often  cannot  be  made  to  see  or  hear.  Continual 
motion  of  one  arm  and  leg  while  other  arm  and  leg  lie  as 
if  paralyzed.  Great  thirst,  wants  water.  There  is  great 
indication  for  helleborus  in  such  desperate  conditions. 

Hyoscyamus:  In  acute  delirium  where  there  is  stupid 
muttering;  there  may  be  occasionally  an  outbreak  of 
violence,  but  if  so  it  does  not  last  long  as  patient  is  too 
weak.  Face  pale  and  sunken.  Any  wild  delirium  de- 
creases gradually,  on  account  of  weakness,  until  it  often 
ends  in  unconsciousness.  Tongue  dry,  mind  blurred, 
cannot  answer  questions  correctly  or  does  not  hear  them, 
stares,  looks  around  but  sees  nothing,  eyes  wide  or  half 
open.  Picks  at  or  grasps  at  something  in  the  air,  picks 
at  bed  clothes,  lower  jawr  drops,  teeth  covered  with  sor- 
des,  bowels  move  involuntarily  and  the  urine  passes  away 
involuntarily.  A  picture  of  a  desperate  typhoid  condi- 
tion, scarlet  fever  or  typhoid  pneumonia,  in  which  it  is 
a  good  remedy.  In  mania  or  mania  after  acute  delirium 
it  is  a  good  remedy,  where  patient  is  very  suspicious, 
thinks  he  is  to  be  poisoned,  on  that  account  does  not  want 
to  take  medicine.  Thinks  there  is  a  plot  against  him,  is 
jealous  or  thinks  the  attack  is  caused  by  jealously.  Pa- 
tient will  expose  him  or  herself,  and  talk  and  sing  amor- 
ously. May  be  tendency  to  suicide  after  grief,  trouble 
or  a  fit  of  anger. 

Ignatia  am. :  Sadness  and  silent  grieving.  Suppressed 
grief,  sobbing,  long  drawn  sighs  with  tendency  to  hide 
grief  from  others.  Patient  desires  to  be  alone  with" 
grief.  Weak,  faint  and  all  gone  feeling  in  the  stomach. 
Changeable  mood  in  hysterical  subjects  who  may  be 
merry  and  full  of  joy  suddenly  followed  by  sadness  with 


BASCC    INDICATIONS    IN    SI'KCIAL   CONDITIONS  367 

tears  and  a  general  melancholy  condition.  Being  so 
easily  impressed  patient  is  easily  frightened.  Therefore 
good  in  effects  of  fright.  Especially  a  remedy  for  nerv- 
ous conditions  in  hysterical  subjects  of  the  female  sex. 
I'seful  in  angry  and  irritable  moods  the  result. of  grief, 
trouble  or  a  fit  of  anger  in  which  case  there  may  be  a 
tendency  to  commit  suicide.  Attacks  of  anxiety  at  times. 

Lachesis:  Alternate  action  of  the  mind,  excitation  and 
depression  is  the  most  important  indication  for  this  rem- 
edy. There  is  abnormal  mental  activity  and  perceptibil- 
ity. Talks  very  freely  but  changes  subjects  rapidly; 
jumps  from  one  idea  to  another.  When  depression  is 
present  we  find  that  the  memory  is  weak,  there  is  con- 
fusion of  time,  makes  mistakes  when  writing.  Delirium 
may  be  present  at  night;  patient  muttering;  drowsy;  face 
red  ;  speech  difficult  and  lower  jaw  dropped  down.  Pa- 
tient feels  very  sad,  distressed  and  depressed  in  mind. 
This  condition  is  worse  on  awakening  in  the  morning  or 
in  fact  from  awakening  from  sleep  at  any  time.  These 
symptoms  may  be  found  in  acute  and  chronic  cases,  very 
often  in  chronic  alcoholism,  run  down  conditions  and 
at  the  climateric.  Circulation  of  lachesis  patient  is  very 
uncertain,  there  may  be  rush  of  blood  to  head  or  anaemia 
of  the  brain. 

Natrum  carb. :  Unable  to  think  or  do  mental  labor 
without  headache,  vertigo  or  stupefaction.  Headache 
worse  by  light  or  sunlight.  Sadness,  oversensitive  to 
noise,  especially  music. 

Natrum  mur. :  Patient  is  aggravated  by  consolation 
and  comforting. 

Nux  moschata:  Absence  of  mind,  must  collect  his 
thoughts  before  he  can  answer  a  simple  question.  There 
is"  stupor  and  unconquerable  desire  to  sleep.  Thoughts 
vanish  while  talking,  reading  or  writing.  May  suddenly 
change  from  deepest  sorrow  to  joy.  Xow  gay,  then  again 
grave.  Weakness  and  loss  of  memory.  Excessive  dry- 
ness  of  mouth.  Fainting  easily. 

Nux  vomica:  Hypochondriasis ;  gloomy  disposition, 
easily  roused  from  this  condition  to  anger  or  becomes 
irritable.  Oversensitive,  easily  offended ;  when  excited 
to  anger  is  spiteful  and  even  mean.  Desire  to  commit 


368  MATKRIA   MEDICA  AND  CLINICAL  Til  KKAl'Kl'TlCS 

suicide  after  grief,  trouble  or  fit  of  anger.  Nux  vomica 
patients  often  have  attacks  of  anxiety  or  worry  a  great 
deal. 

Phosphorus:  Anxiety  and  restlessness  precede  other 
conditions.  Therefore  indicated  in  irritations  of  the  brain 
and  nervous  system  which  if  not  checked  may  result  in 
severe  disease  or  even  softening  of  brain.  Patient  fears 
to  be  alone,  afraid  in  the  dark,  in  thunder  storm,  in  the 
woods,  etc.  In  brain  softening  or  latter  stage  of  brain 
or  nerve  trouble.  May  be  indifferent  or  refuse  to  talk 
or  talk  very  slowly ;  cannot  think  clearly,  cannot  study, 
ideas  come  too  slowly  or  not  at  all.  Sometimes  patient 
becomes  amative  or  exposes  him  or  herself  shamelessly. 
Empty,  gone  feeling  in  the  stomach,  in  fact  in  the  whole 
ibdomen. 

Phosphoric  acid:  Feeling  of  heavy  weight  on  vertex 
or  pain  in  occiput.  Prostration  and  marked  despair.  May 
be  in  severe  disease  such  as  typhoid  or  other  conditions ; 
or  from  emotion.  The  depression  is  almost  stupefying. 
Ts  weak  and  feels  exhausted,  does  not  care  to  talk  but 
wants  to  be  left  alone.  So  weak  as  to  want  to  lie  down 
whenever  possible.  These  conditions  may  be  the  result 
of  overstrain,  bodily  or  mentally  or  result  of  onanism  or 
sexital  excesses.  This  remedy  is  also  often  indicated  and 
of  value  in  young  people  who  grow  too  fast.  In  tall  and 
slim  subjects. 

Pulsatilla:  Mild,  yielding  disposition.  Cries,  is  sad 
and  weaps  over  almost  everything.  Gloomy  disposition  ; 
feels  blue.  Pulsatilla  temperament  is  the  fair  subject; 
with  light  hair,  eyes  blue,  face  pale,  and  is  inclined  to 
always  look  at  the  dark  side  of  life  and  often  has  attacks 
of  anxiety.  There  may  be  a  desire  to  commit  suicide 
but  patient  fears  death. 

Rhus  tox. :  Aggravation  when  quiet.  In  fevers  dry 
or  dark  tongue  with  red  edges.  Stupefaction  and  delir- 
ium mild  but  persistent.  Patient  tosses  around  without 
knowing  what  is  going  6n  around.  May  answer  question 
correctly  but  will  not  renvenlbe'r  afterwards.  Nervous 
restlessness.  May  be  tendency  to  commit  suicide  with 
a  marked  restless  and  stupid  condition. 

Sepia:  Sad   and   cries   frequently    not    knowing    the 


I5ASIC    INDICATIONS    IX    SIM'XIAL   CONDITIONS  369 

reason  why.  This,  generally  in  uterine  troubles  but  ap- 
plies to  other  conditions  as  well.  This  remedy  as  we  see 
lias  similar  indications  to  pulsatilla,  however  it  differs 
in  this:  there  being  no  sign  of  brain  lesion  or  dementia; 
the  patient  will  lose  interest  in  comfort,  family,  occupa- 
tion, household  and  even  those  she  loves ;  which  is  con- 
trary to  her  usual  habits. 

Staphisagria :  Sudden  outburst  of  passion,  feels  dis- 
satisfied with  what  he  or  others  have  done  and  continu- 
ally worries  about  the  future.  Becomes  indignant :  at 
the  table  he  pushes  things  away  as  if  they  were  in  his 
way.  Often  what  he  handles  he  will  throw  away  indig- 
nantly. There  is  oversensitiveness  to  impression,  the 
least  word  seems  wrong  and  hurts  him.  A  hypochondri- 
acal  disposition,  memory  weak,  all  of  which  are  often  the 
result  of  disappointments,  sleeplessness,  sexual  excesses, 
insults  that  were  not  earned  or  of  continually  having  the 
mind  on  sexual  subjects.  Anger  with  indignation. 

Stramonium :  The  most  prominent  delirium  remedy. 
Raving  of  the  worst  kind.  Sing,  whistle,  grin,  laugh, 
scream,  pray  or  swear  and  are  loquacious.  Patient  throws 
him  or  herself  in  all  kinds  of  shapes,  stiffens,  rolls  up  in 
a  ball,  turns  in  all  directions,  jerks  head  from  pillow. 
Everything  looks  crooked  or  oblique  to  him  and  we  can 
thus  see  that  the  condition  is  a  pitiable  one.  This  may 
be  followed  by  loss  of  senses,  dilated  pupils,  loss  of 
speech,  sweats  without  relief  and  death,  if  not  checked 
by  this  remedy.  It  is  the  remedy  in  the  most  wildly 
loquacious  conditions,  as  Nash  states.  Patient  wants 
to  escape,  feels  as  if  lost.  Face  very  red  and  often 
bloated.  There  may  be  present  a  desire  to  commit  sui- 
cide with  marked  anxiety,  delirium  and  restlessness. 
Feeling  as  if  head,  legs  or  body  were  greatly  enlarged  or 
expanded.  Wants  light ;  fears  solitude.  There  may  be 
fear  of  or  aversion  to  water  or  fluids. 

Thuja :  Thinks  a  certain  person  was  beside  him ;  has 
an  idea  that  soul  and  body  are  separate ;  thinks  body, 
but  especially  the  limbs,  were  made -of  gl-ass,  therefore 
thinks  legs  will  break.  Feels  as  if  there  was  a  liv-in-g 
animal  in  the  abdomen.'  In-sane  women -will  not -be 'ap- 
proached or  touched.  Think  they  are  under  the  influence 


370 

of  a  superior  power.     Has  an   idea  a  strange  person   is 
beside  him  or  her. 

Veratrum  album:  There  is  a  mania  with  desire  to  tear 
and  cut  anything  they  get  hold  of;  but  especially  clothes. 
Their  talk  is  lewd,  lascivious,  amorous,  religious.  Patient 
is  very  loquacious  and  religious.  Face  pale,  sunken  or 
hippocratic  with  general  weakness.  There  may  be  vio- 
lent mania  alternating  with  disposition  to  be  quiet;  but 
if  aggravated  will  scold,  call  names,  and  find  fault  with 
others.  These  may  be  in  acute  or  chronic  cases.  The 
result  of  suppressed  menses  in  women  or  any  other  cause. 
Sick  of  life,  desire  to  commit  suicide,  with  cold  extremi- 
ties or  cold  sweats  or  both.  Useful  in  effects  of  fright  or 
tear. 

ORIFICES  OF  THE  BODY. 

Graphites:  In  eczematous  conditions  or  fissures  of 
the  orifices  of  the  body. 

Natrum  mur. :  In  cracked  and  fissured  orifices  where 
mucous  membrane  joins  skin. 

Nitric  acid:  In  cracked  and  fissured  orifices  where 
mucous  membrane  joins  skin. 

Sulphur:  Red  and  burning,  acrid  discharge  from  all 
orifices  of  the  body,  causing  redness  and  burning. 

Thuja  oc. :  In  warts  near  orifices  or  any  other  place. 

PERTUSSIS. 

Antimonium  tartaricum :  Much  accumulation  of  mu- 
cus with  coarse,  rattling,  filling  up  but  unable  or  too  weak 
to  raise.  May  feel  drowsy. 

Cina:  As  a  general  remedy,  better  where  there  are 
worm  symptoms. 

Corallium  rub.:  Continual  hacking  during  day,  se- 
vere paroxysms  during  the  night.  Given  a  few  times  a 
day  it  may  often  abort  the  trouble  when  child  has  been 
exposed. 

Cuprum  met. :  Twitching,  get  stiff  and  may  become 
unconscious. 

'Drosera:  Barking  cough,  feeling  of  constriction  in 
chest. 

Ipecac:  Suffocating  cough,  child 'will  become  blue  in 
the  face. 


BASIC    INDICATIONS    IN    SI'KCIAL   CONDITIONS  3/1 

Magnesium  phos. :  For  spasms,  to  be 'given  whenever 
there  is  marked  spasm  or  one  is  expected. 

Sambucus  nig.:  Gets  bine  in  face  as  if  suffocating. 

Solanum  car.:  Take  Lloyd's  specific  solatium  drachm 
one-half;  glycerine  and  water  of  each  two  ounces.  (  )!" 
this  one  teaspoonful  2  to  3  times  a  day  or  in  severe 
spasm  of  cough.  If  it  causes  dullness  or  drowsiness  re- 
duce dose.  A  very  good  remedy. 

PROSTRATION,     COLLAPSE,     CYANOSIS,     DYS- 
PNOEA, STUPOR  OR  WANT  OF  REACTION 
AND   DESPERATE   CONDITIONS. 

Arnica :  Feels  sore  and  bruised  all  over,  stupor  from 
which  patient  can  be  aroused  only  momentarily.  Dark 
streak  along  center  of  tongue.  Urine  and  stool  pass 
away  involuntarily.  Breath  fetid.  Face  dark  red. 

Arsenicum  album:  Especially  in  latter  stage  of  in- 
flammatory fevers,  marked  prostration  and  restlessness. 
Too  weak  to  move ;  but  wants  to  be  changed  from  one 
position  to  another  almost  continually.  Symptoms  ag- 
gravated about  midnight.  Although  anxious  about  con- 
dition feels  hopeless  as  to  recovery.  May  be  burning  sen- 
sation. 

Baptisia:  Prostration,  mind  confused,  drowsy,  maybe 
in  a  stupor  from  which  he  may  be  only  momentarily 
aroused.  Feels  sore  all  over,  bed  feels  too  hard,  feels 
about  to  gather  himself  together,  moves  almost  contin- 
ually to  get  easier.  Stool  and  sweat  very  offensive.  Face 
dark  red  and  at  times  puffed  up.  Dark  streak  along  cen- 
ter of  tongue.  In  fact  a  picture  of  typhoid  condition. 

Camphor:  Sudden  and  marked  prostration.  Cold  all 
over,  still  cannot  bear  to  be  covered. 

Carbo  veg. :  Vital  forces  almost  exhausted,  patient 
lies  as  if  dead  and  is  indifferent- to  everything  going  on 
around  him.  Pulse  faint  and  thready  and  may  be  slow 
or  rapid.  Breath  may  be  cold,  legs  often  covered  with 
cold  sweats.  So  weak  as  to  be  in  a  "want"  to  be  fanned 
condition"  in  Order  to  breathe.  Facies  litppocfatica.  In 
these  desperate  conditions  carbo  veg.  i2x  will  often  save 
life  where  all  other  means  would  fail.  Hemorrhage  from 


3/2  MATERfA   MEDICA  AND  CLINICAL  THERAPEUTICS 

any  surface  of  the  body  of  dark  blood  which  is  in  such 
a  broken  down  condition  that  it  will  not  clot. 

Digitalis:  Cyanosis  or  dyspnoea  worse  lying  down. 
Pulse  slow,  irregular  and  may  be  intermittent. 

Helleborus  niger:  Head  rolls  from  side  to  side.  There 
is  a  marked  degree  of  stupidity,  still  may  scream  at 
times.  Forehead  wrinkled  and  covered  with  cold  sweat. 
Arm  and  leg  on  one  side  move  continually  while  arm  and 
leg  on  other  side  lie  as  if  paralyzed.  Urine  scanty  with 
coffee  ground  sediment,  may  be  suppression  of  urine. 
All  these  symptoms  are  often  found  in  brain  complication 
in  severe  diseases. 

Laurocerasus :  Dyspnoea  or  cyanosis  worse  sitting  up. 

Muriatic  acid:  Sliding  towards  the  foot  of  the  bed 
from  general  weakness,  moaning  and  dropping  of  lower 
jaw.  Tongue  shrunken,  pulse  is  weak  and  intermittent. 
Stool  and  urine  pass  involuntarily.  Hemorrhage  if  pres- 
ent is  dark  but  blood  is  not  clotted.  It  shows  that  blood 
is  broken  down.  A  picture  which  we  often  see  in  typhoid 
conditions. 

Psorium :  Dyspnoea  or  cyanosis  worse  sitting  up. 

Sambucus  nig. :  Cyanotic  condition  can  inspire  freely 
but  expire  only  with  difficulty. 

Senega:  Labored  breathing,  asthmatic  or  suffocating 
spells. 

Tartar  emetic:  Great  drowsiness  and  prostration,  even 
coma.  Face  pale  or  cyanotic. 

Valerian:  If  of  nervous  origin  and  the  indicated  rem- 
edy fails  as  a  result. 

Veratrum  album:  Collapse,  fainting  or  great  prostra- 
tion with  cold  sweat  on  forehead.  May  be  cold  all  over 
with  clammy  perspiration. 

RHEUMATISM  AND  SCIATICA. 

Antimonium  crud. :  Chronic  rheumatism  where  feet 
are  covered  with  corns  and  callosities,  which  are  tender, 
can  hardly  walk  on  them  on  account  of  tenderness..  With 
tong-ue  indication. 

•     Arsenicum  -album':  Sciatica  worse  at-  'midnight,-  *  .-to 
3  A.  M.    - 

Cactus  g.:  Pain  goes  downward  in  rheumatism. 


ISASIC    INDICATIONS    IN    SPECIAL  CONDITIONS  373 

Calcium  phos. :  Rheumatism  aggravated  in  spring  and 
fall.  In  cold,  damp  air,  especially  from  melting  snow. 

Causticum:  Chronic  rheumatism,  drawing  and  tear- 
ing pain  in  legs  or  joints ;  stiffness  in  sacrum  when  rising 
from  chair,  dull,  drawing  pain  in  hands  and  arms.  Worse 
in  open  air;  better  in  bed.  Also  useful  in  inflammatory 
rheumatism.  Condition  aggravated  in  clear  weather  and 
decreased  in  damp  weather. 

China:  Every  other  day  aggravation. 

Colocynthis:  Sciatica  pain  extends  from  hip  down 
posterior  portion  of  thigh  into  popliteal  fossa.  Decrease 
of  pain  on  lying  on  affected  side. 

Ferrum  met.:  Worse  in  wet  weather,  drives  patient 
out  of  bed.  Rheumatism  in  right  deltoid  muscle. 

Kali  bichrom. :  Pain  does  not  stay  long  in  one  place 
nor  is  there  a  tendency  to  swelling. 

Kali  sulph. :  Wandering  rheumatic  pains. 

Kalmia.  1. :   Pain  goes  downward,  shifts  suddenly. 

Lac  caninum:  Pain  alternates  sides,  one  day  one  side 
is  worse,  next  day  the  other  side,  etc. 

Ledum  p. :  In  chronic,  patient  is  generally  unnatur- 
ally cold.  Warmth  aggravates  condition,  cold  seems  to 
relieve.  Begins  in  feet  and  goes  upward. 

In  acute  pain  begins  in  feet  and  travels  upwards. 
Swelling  is  white,  worse  at  night  and  hot.     Covering  up 
nights  makes  it  worse.    Cold  relieves. 

Lithium  carbonicum :  Rheumatic  soreness  in  cardiac 
region,  violent  pain  in  heart  when  bending  over.  Pains 
in  heart  when  urinating  or  at  menstrual  period.  Swelling 
with  redness  of  small  joints. 

Manganum:  Pain  shifts  crosswise  from  joint  to  joint. 

Mercurius:  Sweat  does  not  relieve  pains;  may  make 
them  worse. 

Phytolacca :  In  sciatica  the  pain  runs  down  the  outer 
side  of  limb. 

Silica:  Patient  cold,  lacks  animal  heat,  aggravated  at 
night,  warmth  ameliorates  pain  in  legs  and  feet. 

Sticta  p.:   Rheumatism  of  knee  joints,  it  is  of  value. 

Valerian-  In  some  forms  of  rheumatism  this  is  a  val- 
uable adjunct. 


374  MATKKIA   MKDICA   AX!)  CLINICAL   THERAPHUTICS 

Veratrum  album :  Worse  in  wet  weather,  drives  pa- 
tient out  of  bed  ;  if  indicated  otherwise.  Pain  so  severe  as 
to  sometimes  drive  patient  to  delirium. 

Marked  wandering  pains  or  erratic  pains:  Kali  bi- 
chrom.,  kali  sulph.,  lac  caninum,  pulsatilla.  As  a  general 
remedy  for  rheumatism  to  add  to  other  indicated  reme- 
dies or  alternate  with  same,  fluid  extract  of  rhamnus  Cal- 
ifornia, one  drachm  to  2  ounces  of  water  is  a  very  good 
remedy.  For  particulars  see  rheumatism  in  part  I. 

REPRODUCTIVE  WRONGS  OF  FEMALE. 

Before  going  into  the  general  symptomatology  of 
wrongs  of  the  reproductive  organs  in  the  female  sex  I 
\vish  to  call  attention  to  a  few  causes  of  congested  or  en- 
gorged ovaries  and  uterus,  which  are  often  overlooked. 
Engorgement  and  congestion  of  the  ovaries  and  uterus 
are  often  the  result  of  the  abuse  of  harsh  physics,  es- 
pecially if  the  patient  is  in  the  general  habit  of  taking 
them.  Emmenagogues  so  extensively  used  are  another 
cause  which  is  to  be  deplored.  The  corset  is  another 
cause  and  the  medical  profession  should  step  in  and  see 
that  laws  are  passed  to  prohibit  the  use  and  sale  of  cor- 
sets. In  coition,  continued  excitement  without  perform- 
ing of  function,  in  other  words  without  orgasm  is  quite 
often  the  cause  of  congested  ovaries.  Masturbation  is 
another  well  known  cause.  Cancers  of  uterus  from  vari- 
ous local  irritations.  Cancers  or  tumors  of  the  mamma? 
from  pressure  of  corsets. 

Ovaries:  Inflammation  in  general  of  the  ovaries,  rem- 
edies most  often  indicated  are:  Aconite,  apis  mel.,  arsen- 
icum  album,  belladonna  or  bryonia.  However  at  times 
cantharides,  lachesis  or  mercurins  are  indicated. 

Trouble  arising  in  the  left  ovary:  Lachesis,  lilium 
tigrinum,  ustilago. 

Trouble  arising  in  the  right  ovary:  Apis  mcl.,  bella- 
donna, bryonia,  lycojjodium,  podophyllum. 

Pain  in  ovaries  ameliorated  by  lying  on  painful  side, 
the  pain  sharp  and  cutting:  Uryonia. 

Pain  sharp,  cutting,  stinging  in  ovaries,  ovarian 
dropsy :  Apis  mel. 


MASK1    INDICATIONS    IN    SI'KCIAL   CONDITIONS  375 

Pain  in  left  ovary,  aching,  burning,  ovaries  hard  and 
swollen  and  very  sore  to  the  touch:  Ustilago. 

Pain  in  ovaries,  sharp,  cutting,  extending  across  ab- 
domen, also  down  left  thigh  :  Lilium  tigrinum. 

Pain  burning  in  ovaries,  if  indicated:  Cantharides. 

Pain  in  right  ovary  running  down  thigh  of  same  side, 
ovarian  tumors  with  this  indication  have  disappeared  by 
the  use  of :  Podophyllum. 

Arnica:  Bruised,  sore  feeling  in  uterus,  cannot  walk 
erect. 

Belladonna:  Pressure  downward  in  vulva  as  if  it 
would  come  out,  aggravated  in  the  morning.  Pain  in 
back  as  if  it  would  break. 

Conium  m. :  Scirrhous  affections  of  uterus,  ovaries  or 
breasts  with  burning,  darting  or  stinging  pain. 

Graphites:  Lumps  in  breasts.  Hard  cicatrix  in 
breasts  from  abscess.  These  can  be  softened  and  ab- 
sorbed by  graphites,  if  indicated. 

Kreosotum:  Ulcers  on  uterus,  tendency  to  uterine 
hemorrhages.  The  hemorrhages  are  intermittent,  may  be 
leucorrhooa. 

Lilium  tigrinum:  Sensation  of  constriction  of  heart, 
weight  as  if  the  pelvic  contents  would  press  out.  Alenses 
now  only  when  moving  about.  Pain  and  fluttering  of  the 
heart.  Frequent  desire  to  urinate.  Reflex  irritation  in 
bladder,  rectum  or  urethra.  Hurried  feeling.  Pain  in 
left  ovary  running  down  left  thigh,  often  with  numbness 
in  leg.  In  nymphomania. 

Murex  purpurea :  Excessive  sexual  desire.  Sinking- 
sensation  in  stomach  and  bearing  down  pressure.  Uterus 
feels  sore  and  tender.  Sexual  desire  brought  on  by  the 
least  contact  of  parts. 

Platina :  Excessive  sexual  desire  in  virgins  and  others. 
Mental  and  physical  symptoms  alternate.  Pruritus  vul- 
vae  worse  on  sitting. 

Pulsatilla:  Pale  face,  headache,  nausea,  vomiting,  or 
stitches  in  the  side,  before,  during  or  after  menses. 
Menses  scanty  and  too  late.  Frequent  desire  to  urinate 
during  or  after  menses.  Gastralgia  before  menses. 
Despondent  and  blue,  cries  often  without  knowing  why. 


376  MATERTA   MEDTCA  AND  CLINICAL  THERAPEUTIC^ 

Sepia:  Aversion  to  sexual  intercourse.  No  desire. 
Labor-like  bearing  down  pain  coming  on  from  back,  go- 
ing to  abdomen.  Flashes  of  heat  with  perspiration  and 
weakness.  Hands  hot  and  feet  cold  or  vice  versa.  Tear- 
ful mind  and  loss  of  interest  in  house  and  home,  etc.  In 
nlccration  of  the  os  uteri  it  is  a  fine  remedy. 

Staphisagria :  Cauliflower  excrescence  on  os  uteri  or 
female  genitals. 

As  a  general  sexual  sedative  in  masturbation,  nym- 
phomania  and  to  tone  the  organs  to  normal  condition,  4 
drachms  of  Lloyd's  specific  salix  nigra  aments  to  4 
ounces  of  water  and  a  teaspoonful  3  to  4  times  a  day  is 
our  best  remedy,  especially  if  result  of  local  irritation.  If 
more  of  mental  than  local  irritation,  10  drops  of  pulsa- 
tilla  should  be  added  to  above.  Locally  in  nymphoma- 
nia  a  50%  solution  of  tincture  of  calendula  applied  to 
clitoris  whenever  the  desire  cannot  be  controlled  is  very 
effective  to  relieve  the  temporary  condition  as  well  as 
assist  the  internal  treatment. 

Coition:  Increased  desire:  Cantharides,  china,  inu- 
rex  p.,  mix  vomica,  platina,  veratrum  album,  zincum  met. 

Disposition  to  coition  in  females:  Hyoscyamus,  kali, 
kreosotum,  murex  p.,  sabina,  sulphuric  acid. 

Absence  of  or  retarded  enjoyment  during  same:  I'er- 
beris  vul.,  ferrum,  ferrum  mur. 

Painful:   Berberis  vul.,  ferrnm  mur.,  kreosotum. 

Repugnance  to:  Causticum,  kali,  natrum  mur.,  petro- 
leum. 

Conception  taking  place  very  easily:  Mercurius,  na- 
trum. 

Abdomen  enlarged  in  women  who  have  born  many 
children :  Aurum  met.,  aurum  mur.,  belladonna,  fraxi- 
nus  am.,  helonias,  phosphorus,  sepia. 

Abdomen  enlarged  in  girls  at  puberty:  Calcium  phos., 
graphites,  lachesis,  sulphur. 

Excoriating  of  the  genitals:  Carbo  veg.,  graphites, 
kreosotum,  mercurius,  nitric  acid,  rhus  tox.,  sepia,  staph- 
isagria. 

Genital  hair  falling  out:  Mercurius,  nitric  acid,  sassa- 
fras. 

Genitals,  sensation  of  heat  in:  Sulphuric  acid. 


BASIC   INDICATIONS  IN   SPECIAL  CONDITIONS  377 

Inflammation  and  swelling  of  vulva :  Belladonna,  bry- 
onia,  carbo  veg.,  mercurius,  sepia,  sulphur. 

Itiching  of  vulva:  Carbo  veg.,  kreosotum,  nitric  acid, 
natrum  sulph.,  platina,  sepia,  sulphur,  tarantula  hisp. 

Ulcers  on  the  vulva:  Graphites,  nitric  acid,  mercu- 
rius, sepia. 

Uterus,  burning  in:  Bryonia. 

Uterus,  sensation  of  dryness  in:  Murex  p. 

Vagina :.  Dryness  of  vagina :  Belladonna,  lycopodium. 

Vagina,  inflammation  of:  Mercurius. 

Vagina,  chronic  burning  in:  Sulphur. 

Menses. 

Painful  in  general:  Belladonna,  cimicifuga,  cocculus 
ind.,  crocus  s.,  gelsemium,  ignatia  am.,  magnesium  phos., 
])latina,  pulsatilla,  veratrum  album. 

Pain  in  back  during:  Ammonium  mur.,  belladonna, 
causticum,  lycopodium,  phosphorus. 

Pain  bearing  down  during:  Belladonna,  china,  con- 
ium  m.,  mix  moschata,  platina,  sepia. 

Pain  in  back  with  suppression:  Arsenicum  album. 

Pain  in  mammae  before  menses,  aggravated  by  walk- 
ing, pain  is  of  a  burning,  stinging  or  darting  nature  :  Con- 
ium  m. 

Pain  or  soreness  in  mammae,  with  swelling  before 
menses:  Calcium. 

Pain  in  stomach  before  or  during  menses:  Lachesis, 
magnesium  phos.,  mix  moschata,  pulsatilla,  sulphur,  vi- 
burnum opulus. 

Abdomen,  distention  of  during  menses:  Berberis  vul., 
cocculus  ind.,  kreosotum,  zincum  met. 

Epistaxis  before  menses:  Lachesis,  sulphur,  veratrum 
album.  During  menses:  Natrum  sulph.,  sepia,  sulphur. 
With  suppressed  menses:  Bryonia,  phosphorus. 

Face  bloated  during  menses:  China. 

Fainting  during  menses:  Herberts  vul.,  ignatia  am., 
mix  vomica. 

Feels  better  during  menstruation  than  at  other  times : 
Zincum  met. 

Feet  swelling  during  menses:  Graphites,  lycopodium. 

Headache  before  menses:  Calcium  phos.,  carbo  veg., 


378  M  ATKRIA    MKDICA    AXI>  CLINICAL   T  II  KRAPKL'TFCS 

conium  m.,  cuprum  met.,  ferrum  acetate,  lachesis,  na- 
trum  carb.,  natrum  mur.,  nux  mochata,  sulphur,  veratrum 
album. 

Headache  during:  Borax  v.,  calcium  phos.,  carbo  veg., 
graphites,  hyoscyamus,  ignatia  am.,  lycopodium,  mag- 
nesium carb.,  natrum  mur.,  natrum  sulph.,  nux  vomica, 
lachesis,  phosphorus,  platina,  pulsatilla,  sulphur,  vera- 
trum album. 

Headache  after:   Lachesis,  natrum  mur.,  pulsatilla. 

Heat  in  genitals  before  menses:  Kreosotum,  mercu- 
rius,  nitric  acid,  rhus  tox.  During1  menses:  Calcium 
phos.,  ignatia  am. 

Irritable  before  or  during  menses:  Conium  m.,  kre- 
osotum,  natrum  mur.,  platina.  sulphur. 

Melancholy  before  menses:  Causticum,  natrum  mur., 
lycopodium,  stannum  met. 

Melancholy  during:   Pulsatilla,  sepia. 

Spasms,  hysterical  before:  Hyoscyamus,  kreosotum. 
During:  Lachesis.  pulsatilla. 

Sensation  of  fullness  in  pit  of  stomach  during  menses: 
Daphne  ind.,  digitalis,  lycopodium,  phosphorus,  sulphur. 

Stomach,  fullness  of,  during  menses  which  appears  to 
obstruct  respiration  :  Xatrum*  sulph.,  nux  moschata. 

Swelling  in  pit  of  stomach  during:  Aconite,  arsen- 
icum  album,  calcium  phos.,  causticum.  hepar  sulph.,  ly- 
copodium, natrum  mur. 

Sensation  of  heat  in  pit  of  stomach  during:  Bryonia, 
sabadilla. 

Urination,  frequent  desire  before :  Phosphorus,  sul- 
phur. During:  Hyoscyamus,  pulsatilla.  After:  Pulsa- 
tilla. 

Yawning  frequent  during  day  time,  coldness  of  left 
lower  leg.  ^^eariness  of  lower  limbs.  Unable  to  sleep 
at  menstrual  time:  Agaricus. 

For  hysterical  symptoms,  see  mind  symptoms. 

Menstrual  Period,  Colic  or  Cramps. 

Actaea  racemosa:  Pain  in  back  to  hips  and  then  down 
along  the  thighs. 

Caulophyllum :  Intermittent  and  spasmodic  pain 
Screams  with  pain.  Internal  trembling. 


I'.ASIC    INDICATIONS    IN    SI'KCIAL  CONDITIONS  3/Q 

Chamomilla:  Menstrual  colic  following  anger.  Labor- 
like  pains  begin  in  back  and  pass  off  inner  side  of  thigh 
or  press  upwards. 

Cocculus  ind. :  Great  distention  of  abdomen,  griping, 
cramping  pain.  Flow  scanty  or  becomes  scantier.  De- 
pression. May  be  empty  feeling. 

Coffea :  Black  clots  with  almost  unbearable  pains. 
If  this  does  not  correct  see  chamomilla. 

Cuprum  met.:  Spasm  from  bodily  exhaustion  from 
overexertion.  Begins  in  fingers  and  toes  and  spreads 
generally. 

Magnesium  mur. :  Flow  worse  at  night,  very  painful, 
accompanied  by  severe  cramps,  so  severe  as  to  throw 
patient  into  hysterical  spasms  at  times. 

Magnesium  phos. :  Cramp-like  pain.  Hot  application 
ameliorates  pain. 

Pulsatilla:  Menses  stop  and  flow.  Painful  menstru- 
ation with  marked  restlessness,  suppressed  menses  from 
chilling  or  getting  feet  wet.  Menses  too  late  and  scanty. 
Feels  better  in  the  open,  cool  air. 

Sabadilla:  Cramps  or  flatulence  with  red  spots  form- 
ing on  abdomen  at  times. 

Viburnum  opulus :  Pains  beginning  in  back,  radiating 
to  loins  and  ending  in  cramps  in  uterus,  especially  if  of 
neuralgic  nature. 

Menorrhagia  or  Metrorrhagia. 

Bovista:  Flow  worse  in  bed  at  night.  Generally  pro- 
fuse. 

Calcarea  carb. :  Too  early  and  profuse,  generally  in 
spare  subjects. 

Calcarea  ost. :  Profuse  menses,  especially  in  fleshy 
subjects,  inclined  to  obesity,  generally  menses  are  too 
early. 

Capsella  bursa  pastoris:  Tn  persistent  metrorrhagia 
from  general  weakness  and  weakness  in  lining  membrane 
of  uterus  as  well  as  capillaries,  the  least  exertion  bring- 
ing on  the  flow.  Condition  as  above  are  often  the  result 
of  abortion;  I  or  2  drops  of  the  mother  tincture  in  water 
2  to  4  times  a  day  is  average  dose. 

Carbo  animalis :   Flow  weakens  patient  so    she    can 


38O  MATERTA   MEDTCA  AND  CLINICAL  TIIKRAPKUTTCS 

hardly  walk,  especially  in  delicate  women  ;  may  be  too 
long  or  too  early  or  both. 

Carbo  veg.:  Flow  weakens  much,  may  be  "want  to 
be  fanned"  condition. 

Caulophyllum :  Bearing  down  pain  (pain  in  fingers) 
blood  dark,  liquid.  Also  in  passive  hemorrhages. 

Cimicifuga:  Marked  pressing  down  pain  in  back, 
through  hips  down  to  thighs.  Sharp  uterine  pain  dart- 
ing to  either  or  both  sides. 

Ferrum  met.  or  acetate:  Anaemic  condition,  with  rush 
of  blood  to  head.  Menses  too  soon  and  too  profuse  and 
last  too  long,  with  marked  red  face,  ringing  in  the  ears, 
flow  watery  and  weakening. 

Lac  caninum:  Tf  throat  and  breasts  get  sore  at  period. 
Menses  flow  in  great  gushes  only. 

Magnesium  carb. :  Blood  black  and  offensive,  stains 
napkin.  Hard  to  clean. 

Nux  vomica:  A  few  days  too  early  and  at  times  lasts 
too  long.  Copious. 

Platina:  Too  profuse,  black  and  clotted  blood,  (ien- 
itals  excessively  sensitive  to  touch.  Changing  mood,  gav 
and  sad. 

Sabina:  Marked  hemorrhage  comes  in  paroxysms. 
Pain  from  back  to  pubes. 

Secale  cor.:  Coldness  of  surface  of  body,  but  cannot 
bear  to  be  covered.  Best  adapted  to  feeble  women  with 
lax  muscles.  Motion  increases  hemorrhage. 

Ustilago:  More  irritation  and  pain  in  ovaries.  Es- 
pecially at  climateric. 

Menstrual  Irregularities. 

Menses  flow  all  night:   Bovista,  ammonium  mur. 

Flow  only  when  moving  about :   Lilium  tigrinum. 

Flow  only  at  night  or  when  lying  down:  Magnesium 
carb. 

Vicarious  menstruation:    Bryonia,  phosphorus. 

Menses  before  proper  age:  Calcium,  calcium  phos., 
carbo  veg.,  china,  cocculus  ind.,  sabina,  silica,  veratrum 
album. 

Irregular:  Ferrum,  phosphorus,  pulsatilla,' secale  cor., 
sepia,  sulphur. 


REMEDIES  ACTING  ON   CERTAIN   REGIONS  381 

Recurring  too  early  every  time:  Calcium  phos.,  carbo 
an.,  ignatia  am.,  kreosotum,  mix  vomica,  sabadilla,  secale 
cor. 

Recurring  too  late:  Phosphorus,  pulsatilla,  sepia. 
Suppressed  from  Cold: 

Antimonium  crud. :  Caused  by  cold  bath  or  baths. 

Dulcamara:  From  getting  cold  in  change  of  warm  to 
cold  weather. 

Pulsatilla:   From  getting  feet  wet  or  chilled. 

Suppressed  from  fright:  Aconite,  coffea,  ignatia  am., 
lycopodium,  veratrum  album. 

Suppressed. 

Aconite:  Especially  if  from  fright  or  inflammatory 
condition. 

Antimonium  crud.:  Caused  by  cold  bath  or  baths. 

Arsenicum  album :   With  pain  in  back  and  loins. 

Bryonia :  Bursting  headache.  Epistaxis  in  place  of 
menses. 

Kali  carb. :  Weak,  anaemic,  skin  milky  white,  weak- 
ness, pain  in  lumbar  region.  Swelling  of  upper  eyelid. 
May  bloat  in  face. 

Phosphorus:  If  menses  do  not  appear  there  may  be 
epistaxis  or  bleeding  of  the  lungs. 

Pulsatilla:  From  getting  wet  feet,  or  chilled  feet. 
Weeping  disposition,  wants  to  be  comforted. 

Veratrum  album:  Mental  symptoms  as  a  result,  if 
indicated. 

Scanty. 

Cocculus  ind. :  Scanty  and  get  scantier,  changing  at 
times  to  -leucorrhoeal  discharge.  Weakness  and  depres- 
sion. 

Graphites:  Scanty  and  too  late. 

Kali  carb. :  Weak  and  anaemic,  skin  milky  white, 
weak,  pain  in  lumbar  region.  Swelling  of  upper  eyelids. 
Bloat  in  face. 

Natrum  mur. :  Weak,  anaemic,  throbbing  headache, 
palpitation  of  heart.  Shortness  of  breath;  despondent, 
weeping  disposition,  comforting  aggravates  feeling. 

•  Pulsatilla :  Scanty  and  delayed,  changeable,  stop  and 
flow. 


382  MATKRIA    MKDICA   AND   CLINICAL   THERAPEUTICS 

Pruritus  Vulvae. 

Caladium.  calcium,  causticum,  krcosotuni,  lobelia, 
mercurius,  nitric  acid,  ])latina,  sci)ia,  staphisagria,  sul- 
phur, tarantula  his.,  thuja  oc. 

Mechanical  displacement  of  uterus:  Secalc  cornutiun. 
Climateric. 

Flushes  of  heat,  if  indicated :  Sulphuric  acid. 

Flushes  of  heat,  sudden  :   Lachesis. 

Flushes  of  heat,  in  climateric,  if  indicated,  especially 
with  heat  in  the  soles  of  the  feet  and  palms  of  the  hands: 
Sanguinaria  can. 

Cancers  of  Breast  and  Uterus. 

Carbo  an. :  Hard  nodular  mammary  tumors:  swelling 
in  axillary,  mammary  or  inquinal  region,  especially  in 
those  that  are  subject  to  glandular  swelling. 

Conium  m. :  If  from  a  blow  or  injury.  (Hard  and 
heavy  feeling.)  Pain  may  be  darting,  stinging  or  burn- 
ing. 

Graphites:  Xodular  breast  tumors.  Lumps  in 
breasts.  Hard  and  old  cicatrices,  the  result  of  abscesses 
of  the  breasts,  will  soften  and  disappear  bv  the  use  of  this 
remedy. 

Kreosotum:  Uterus  hard,  bleeds  easily,  but  changes 
off — bleeds  easily,  then  stops,  etc.  Mamma?  hard,  bluish 
red,  covered  with  protruberances. 

Lachesis:  Bluish  nature,  very  sensitive  to  touch,  if 
open  bleeds  easy,  latter  giving  temporary  relief.  Marked 
blueness  or  swelling.  Blue  any  part  of  the  body  or  in 
mouth,  uterus,  etc. 

Lapis  albus:  Tumors  and  cancers  in  general,  with 
burning  pain. 

Ova  testa  3x1  Pain  of  cancer,  of  mamnue  and  uterus. 

Tarantula  cub.:    Bluish  swelling,  very  painful. 

Leucorrhcea. 

Thick,'  blano!  arid  yellowish  green :  Carbo"  veg.,  pulsa- 
tilla,  sepia,'  st  annum  met.'  ' 

Greenish:  Carbo  veg.,  lycbpbdium,  nitric  acid,  phos- 
phorus, pulsatilla,  sepia,  sulphur. 


P.ASIC    INDICATIONS    IN    SI'KCIAl,   CONDITIONS  383 

Discharge  thin,  afterwards  becomes  thicker  and  more 
bland,  worse  in  night:  Mercurius. 

Viscid,  stringy:  Hydrastis,  iris  v.,  kali  biehrom. 

Jelly-like  discharge,  stringy:   Aloe,  kali  bicbrom. 

Thin,  watery,  burning  discharge:  Arsenieum  album, 
natrum  mur. 

Sticky:  Graphites. 

Corrosive:  Arsenieum  album,  iodium, kreosotum,  mer- 
curins,  natrum  mur.,  sulphur,  sulphuric  acid. 

Acrid,  corrosive,  leucorrhcea,  chronic,  so  sharp  as  to 
cat  holes  in  linen:  Todium. 

Corrosive,  putrid  leucorrhoea,  staining  linen  yellow. 
Parts  it  comes  in  contact  with  itch,  burn  :  scratching  only 
increases  inflammation:  Kreosotum. 

Profuse,  as  if  menstruating,  running  down  to  heels  at 
times  :  Alumina. 

Suppressed:  Sabina. 

Starchy,  with  sensation  of  warm  water  running  down  : 
Horax  v. 

Offensive  discharge,  fetid  odor:  Asafoetida,  baptisia, 
china,  kreosotum,  nitric  acid,  psorium. 

Purulent:  Calcium,  kreosotum,  mercurius,  sabina, 
sepia. 

Brown:  Ammonium  mur.,  nitric  acid. 

Cervical:  Hydrastis,  phytolacca. 

Bloody:  Arsenieum  album,  carbo  veg.,  china,  ferruni 
acetate,  nitric  acid,  sepia,  sulphuric  acid. 

Burning:  Arsenieum  album,  kreosotum,  sulphuric 
acid. 

Itching:   Kreosotum,  mercurius,  sepia. 

Smarting:  Conium  m.,  ferrum,  hepar  sulph.,  lachesis, 
mercurius,  phosphorus,  sepia,  sulphur. 

Syphilitic:  Mercurius,  nitric  acid,  thuja  oc. 

Leucorrhoea  before  menstruation:  Baryta  carb.,  cal- 
cium phos..  carbo  veg.,  china,  kreosotum,  lachesis. 

After:  Bovista,  phosphoric  acid,  pulsatilla,  ruta  g., 
sabina. 

Leucorrhoea  in  general,  discharge  profuse,  -pain  in 
ovaries;  ova  testa  2x-.cn:  3x  I  or  2  tablets  before  retiring, 
acts  favorably. 

With  marked  prostration,  periodical  headache,  flushed 


384  MATERIA  MEDICA  AND  CLINICAL  THERAPEUTICS 

face,  weak,  but  cannot  remain  quiet :  Onosmodium  v. 

Pregnant  women,  bloody  discharge  during  the  time 
if  no  other  remedies  are  indicated  we  may  think  of:  Kali, 
phosphorus,  rhus  tox. 

Toothache,  suffering  from,  as  a  result,  is  often  bene- 
fited by :  Magnesium  carb. 

Pruritus  vaginae:  Caladium  is  useful  or  any  of  the 
other  remedies  indicated  in  pruritis  of  the  vagina  or 
vulva. 

Pregnancy,  Vomiting  In. 

Aconite:  Elevation  of  temperature,  restlessness  and 
where  the  os  uteri  shows  active  irritation,  color  bright 
red  as  a  result. 

Arsenicum  album:  AYhere  there  is  restlessness,  but 
almost  too  weak  to  move,  burning  in  stomach  showing 
considerable  gastric  disturbances. 

Belladonna:  Where  os  uteri  is  more  of  bluish  color, 
showing  congestion. 

Bryonia:  With  dizziness,  especially  on  rising  from 
bed. 

Ipecac:  Persistent  nausea,  vomiting  does  not  relieve. 

Nux  Moschata :  Where  month  is  very  dry,  especially 
nights. 

Nux  vomica:    In  some  cases  this  is  useful,  if  indicated. 

Sepia:  Smell  of  food  causes  nausea  and  vomiting. 
Empty  and  gone  feeling  in  stomach. 

In  Nursing  Women. 

Milk  scanty  or  suppressed:  Hryonia,  phytolacca,  pul- 
satilla. 

If  there  are  brain  symptoms :   Belladonna. 

With  much  fever:  Aconite. 

Milk,  too  much:  Calcarea  carb.,  iodiuin,  phosphorus. 

If  there  is  general  weakness:  China. 

Early  Signs  of  Pregnancy. 

It  is  claimed  by  many  that  the  earliest  signs  of  preg- 
nancy are  dilated  pupils,  pulse  high,  about  io2'  or  little 
below  or  above,  and  marked  throbbing  of  the  abdominal 
aorta. 


T.ASFC   INDICATIONS  IN   SPECIAL  CONDITIONS 

REPRODUCTIVE  WRONGS  OF  MALE  SEX. 

As  a  general  sexual  sedative  where  the  irritation  is 
in  the  sexual  organs  themselves,  spermatorrhoea,  etc.,  our 
best  remedy  is  Lloyd's  specific  salix  nigra  aments  4 
drachms  in  4  ounces  of  water,  i  teaspoonful  2  to  4  times 
a  day  as  the  case  demands. 

If  condition  is  one  more  of  the  mind  than  due  to 
local  causes  10  drops  of  pulsatilla  should  be  added  to 
above. 

Acetic  acid:  Prostatic  fluid  oozes  when  sleeping, 
walking,  sitting  or  at  stool.  In  this  condition  where 
weakness  is  of  long  standing  acetic  acid  acts  well.  Hun- 
gry, yet  will  lose  weight,  while  eating  heartily. 

Caladium:  Sexual  excitement  with  desire  and  relaxed 
penis.  No  emission  or  orgasm  during  embrace. 

Cannabis  ind. :  Sensation  of  swelling  in  perineum  or 
near  anus  as  if  sitting  on  a  ball,  if  otherwise  indicated. 
However,  this  sign  is  more  prominent  in  chimaphilla  um- 
bellata  patients. 

Chimaphila  umbellata :  Sensation  of  swelling  in  perin- 
eum or  near  anus,  as  if  sitting  on  a  ball. 

Conium  m. :  Intense  desire  and  amorous  thoughts  but 
unable  to  perform  act.  Has  emission  at  the  very  thought 
or  presence  of  women.  The  erections  are  insufficient, 
last  only  a  short  time,  go  back  on  him  in  the  act.  As  a 
result  of  this  becomes  despondent.  This  condition  of 
mind  may  be  present  in  either  sex,  the  result  of  over- 
indulgence ;  or  especially  too  infrequent  indulgence. 

Corallium  rubrum:  Chancroid  or  soft  chancre,  red, 
coral  red,  flat,  sensitive,  sore.  Use  internally. 

Dioscorea  villosa:  Emissions  during  sleep  with 
dreams  of  women  all  night,  knees  weak,  genitals  cold, 
despondency. 

Lupulin  ix :  Is  one  of  our  best  remedies  for  sexual  de- 
bility, emissions  of  semen  in  the  night,  etc.  One  or  two 
grains,  once  or  twice  a  day,  for  a  few  weeks,  then  discon- 
tinued for  a  week  and  used  again  for  a  few  weeks  until 
condition  is  corrected. 

Lycopodium  200  P.:  If  from  onanism  or  sexual  excess 
the  penis  becomes  small,  cold  and  relaxed ;  desire  as 


386  MATKRIA   MEDTCA  AND  CLINICAL  THERAPEUTICS 

strong  as  ever  and  perhaps  more  so,  but  no  power,  this 
is  a  good  remedy. 

Platina :  Excess  of  sexual  desire,  overestimation  of 
self,  ete.  This  applies  to  females;  but  may  be  tested  in 
the  male. 

Selenium  200  P.:  General  weakness,  also  of  the  male 
organs.  Although  desire  is  strong,  erections  are  weak 
and  ejaculation  in  coition  is  too  quick.  Feels  weak  and 
out  of  humor  afterwards.  Frequent  oozing  of  prostatic 
fluid.  Js  forgetful,  weak  and  easily  exhausted  from  phy- 
sical or  mental  exertion.  Strong  desire  for  liquor  but 
feels  wrorse  after  using  it.  This  remedy  is  also  useful  in 
bad  after-effects  of  tea. 

Sepia  12  to  sod:  There  is  aversion  to  sexual  inter- 
course. No  desire. 

Staphisagria :  l>urning  in  urethra  except  when  urin- 
ating ;  backache,  always  worse  at  night  in  bed  and  in 
morning  before  rising.  One  of  our  best  remedies  in  pros- 
tatic troubles  in  old  men  with  frequent  urination  and 
dribbling  of  urine  afterwards.  Also  good  in  onanism. 

Coition,  aversion  to:  Agnus  cast.,  caladium,  con- 
ium  in.,  lycopodium.  During  sleep:  Lycopodium.  Pre- 
puce  retraction  after:  Caladium.  ( idontalgia  after: 
Daphne  ind.  Pain  after  in  urethra:  Cantharides.  Pain 
in  perineum  during:  Alum.  Vertigo  after:  Bovista. 
Vomiting  after:  Moschus.  Weakness  after:  Calcium, 
conium  m.,  lycopodium,  petroleum,  selenium,  sepia,  silica. 
Weakness  in  parts  after:  l>erberis  vul. 

Ejaculation  of  semen,  absence  of,  in  coition :  Cala- 
dium, graphites,  lycopodium. 

Without  energy:  Calcium,  conium  m.,  natrum  mur., 
phosphorus,  sulphuric  acid. 

Too  speedy:  P>erberis  v.,  caladium,  conium  m.,  lyco- 
podium, phosphorus,  plat  in  :i,  selenium,  sulphur,  zincum 
met. 

Too   slow:   Calcium,   lycopodium,   zincum    met. 

Emission  of  prostatic  fluid  after  every  emotion  :  Con- 
i.um  m.  ... 

Emission  of  prostatic  'fluid  during  .  .evacuation  :  .An- 
acardium  o.,  calcium,  carbo  veg.,  causticum,  .conium  m., 
selenium,  silica,  sulphur.. 


BASIC   INDICATIONS    IN    SPECIAL   CONDITIONS  387 

Erection  without  sexual  desire:  Phosphoric  acid,  sa- 
badilla. 

Erection  painful:  Cantharides,  ignatia  am.,  niercurius, 
moschns,  nitric  acid,  nux  vomica,  pulsatilla,  sabadilla, 
thuga  oc. 

Too  slow  and  too  short:  Agaricus,  calcium,  con- 
i u m  m.,  lycopodium,  selenium,  zincum  met. 

Excessive  desire:  Calcium,  cantharides,  china,  kreo- 
sotum,  moschus,  nux  vomica,  platina,  phosphorus,  pul- 
satilla.  veratrum  album,  zincum  met. 

With  discharge  of  prostatic  fluid:   Nitric  acid. 

Genital  hair  falling:   Mcrcurius,  nitric  acid,  sassafras. 

Genital  organs,  sensation  of  heat  in:  Sulphuric  acid. 

Impotence  in  general:  Caladium,  calcium,  china,  con- 
inni  m.,  lycopodium,  moschus,  natrum  mur.,  nitric  acid, 
picric  acid,  selenium,  sepia. 

Itching  of  scrotum:  Causticum,  cocculus  ind.,  mag- 
nesium mur.,  petroleum,  pulsatilla,  selenium,  silica, 
staphisagria. 

Between  thighs:  Carbo  veg.,  natrum  sulph. 

Perspiring  genital  organs:  Caladium,  niercurius,  sepia, 
sulphur,  thuja  oc. 

At  night:  Belladonna. 

Scrotum:  Daphne  ind.,  ignatia  am.,  natrum  sulph., 
sepia,  silica,  thuja  oc. 

Testes,  pain  in:   Xitric  acid,  pulsatilla,  thuja  oc. 

Testes,  swelling  in:  Clematis  e.,  pulsatilla,  thuja  oc. 

SORE  AND  BRUISED  FEELING. 

Arnica:  Sore  and  bruised  feeling.  No  matter  how 
soft  the  bed,  it  feels  hard,  has  to  change  position  to  get 
easier.  Feels  weak  all  over. 

Baptisia:  ?>ed  feels  too  hard,  has  to  change  positions 
to  get  easier,  feels  about  to  get  himself  together. 

China:  Sore  all  over  body  but  especially  joints.  They 
feel  as  if  they  were  sprained. 

Phytolacca:  Sore  and  bruised  feeling  all  over,  but  the 
least  movement  or  motion  makes  patient  .groan.  .Head 
generally  .hot  and  face  flushed,  •  .  .  .  .  .....; 

Rhus  tox. :  -Sore  and  .Sruised  all  over,,  exercise  or  .mov- 
ing ameliorates.  - 


388  MATK1UA   MEDICA  AND  CLINICAL  THERAPEUTICS 

Ruta  g. :  Feels  sore  and  bruised  in  parts  he  lies  on. 
Staphisagria :  Upper  and  lower  extremities  feel  sore, 
bruised  and  weak. 

SPASM. 

Of  bladder :  Gelsemium,  hyoscyamus.  pulsatilla. 
Of  glottis  :  Gelsemium,  apis  mel.,  cicuta  v. 
Of  larynx :  Cicuta  v.,  cimicifuga,  lobelia. 
Of  uterus:  Gelsemium. 

TOOTHACHE. 

Chamomilla:  Taking  anything  wrarm  in  the  mouth 
aggravates :  but  cold  does  not  relieve.  Very  sensitive  to 
pain.  May  be  irritable. 

Coffea:  Easy  as  long  as  cold  water  is  in  contact  with 
tooth.  Very  sensitive  to  pain,  cannot  bear  it. 

Kalmia  L:  A  valuable  adjunct  to  any  indicated  rem- 
edy if  toothache  is  on  right  side. 

Magnesium  carb. :  In  decayed  teeth,  pain  easier  dur- 
ing the  day,  worse  in  the  night.  Must  walk  about  to  get 
a  little  easier.  Especially  useful  in  toothache  in  pregnant 
women. 

Mercurius:  Worse  at  night,,  sweating  does  not  relieve 
or  even  aggravates. 

Spigelia:  A  valuable  remedy  to  any  of  the  above  indi- 
cated remedies  if  toothache  is  on  the  left  side. 

Valerian:  The  mother  tincture  of  valerian  is  a  val- 
uable adjunct  as  a  rule  in  any  form  of  toothache. 

URINARY   ORGANS. 

Aconite:  Constant  unsuccessful  want  to  urinate  with 
violent  pain  in  lower  abdomen,  with  retraction  of  same. 
Violent  spasmodic  pain  in  lower  abdomen. 

Apis  mel.:   Burning  and  stinging  pain  in  urethra. 

Benzoic  acid:  Urine  scanty  and  of  dark  brown  color, 
smells  bad,  no  deposits.  Urine  scents  the  -Clothes  it 
comes  in  contact  with.  " 

Berberis  vulgaris :  Suffering  in  back  aggravated  'by 
fatigue.  Burning  on  passing  urine.  Bubbling  sensation 
in  region  of  kidneys.  Soreness. 


BASIC    INDICATIONS    IX    SI'KCIAL   CONDITIONS  389 

Camphor:  Strangury,  if  from  cantharicles.  Useful 
sometimes  in  other  forms  of  strangury. 

Cannabis  sativa:  Urethra  very  sensitive  to  touch. 
Specially  useful  in  early  stages  of  gonorrhoea. 

Cantharides:  litirning  and  cutting  pain  in  urethra. 
Violent  bladder  pain,  frequent  urging  to  urinate  with  in- 
tolerable tenesmus.  Violent  burning,  cutting  pain  in 
neck  of  bladder.  Before,  during  and  after  urinating  fear- 
ful cutting  pains.  Constant  urging  to  urinate;  urine 
passed  off  drop  by  drop.  Where  there  is  great  cutting 
and  burning  pain  in  urinating,  it  is  a  good  remedy  in 
affections  of  the  respiratory  tract. 

Causticum:  Itching  of  orifice  of  urethra,  constant  in- 
effectual desire  to  urinate,  often  only  a  few  drops  passed 
at  a  time,  with  spasm  of  rectum  and  constipation.  Sen- 
sation of  soreness  and  rawness.  Involuntary  passage  of 
urine  when  coughing  or  sneezing,  blowing  nose,  at  night 
when  asleep,  when  walking.  Hardly  knows  when  he 
urinates  until  by  sense  of  touch.  Urine  loaded  with  lithic 
acid.  There  are  thick  deposits  or  sediments  of  various 
colors  from  dark  to  light. 

Chimaphila:  Large  amount  of  mucus  in  urine.  Cys- 
titis. 

Clematis  e. :  Result  of  enlarged  prostate  gland. 

Conium  m. :   Intermittent  flow  of  urine. 

Digitalis:  Urine  brown,  color  of  dark  beer,  may  be 
bile  in  it;  in  jaundice,  pulse  slow  and  weak  and  often  in- 
termittent. 

Equisetum:  Urinating  very  painful.  In  inflamma- 
tion of  the  bladder  and  urethra.  Violent  pain  as  in  can- 
tharides,  but  there  is  no  decrease  in  quantity  of  urine, 
in  fact  in  some  cases  large  quantity  is  voided,  instead  of 
drop  by  drop  as  in  cantharides. 

Gelsemium:  Involuntary  urination  from  paralysis  of 
neck  of  bladder. 

Helleborus  niger:  Scanty,  with  coffee  ground  sedi- 
ment, may  be  suppression,  especially  in  severe  acute 
diseases. 

Hepar  sulph. :  \Yaits  a  while  before  urine  starts,  flows 
slovvlv,  never  finishes,  feels  as  if  some  urine  was  left  in 


3QO  MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

bladder.     Urine  drops  straight  down  on  account  of  weak- 
ness of  muscles  of  bladder. 

Kreosotum:  Copious  urine,  pale  color,  they  cannot 
go  quick  enough.  Can  only  urinate  when  lying  down. 
Wets  bed  in  first  sleep.  Sleep  profound,  can  hardly  wake 
up. 

Lycopodium:  Red  sand  with  urine.  Pain  in  kidneys 
relieved  after  passing  sand  with  urine. 

Mullein  oil:  In  difficult  urination,  strangury,  T 
drop  every  y2  to  2  hours,  is  useful.  In  enuresis,  it  is  one 
of  our  best  remedies,  2  to  3  drops  3  to  4  times  a  clay. 

Natrum  mur. :  After  urinating  cutting  and  burning 
pain  in  urethra. 

Nitric  acid:  Urine  has  odor  like  horse  urine. 

Petroselium :  Great  and  sudden  desire  to  urinate, 
itching  in  urethra.  Cannot  go  quickly  enough. 

Sarsaparilla :  White  sand  with  scanty,  slimy  or  flaky 
urine,  may  be  tenderness  of  bladder ;  much  pain  at  con- 
clusion of  passing  water,  sometimes  almost  unbearable. 
These  symptoms  also  apply  to  a  lesser  degree  to :  Ber- 
beris  vulgaris,  equisetum,  thuja  oc. 

Selenium:  Involuntary  dripping  of  urine  while  walk- 
ing or  after  urinating  at  stool. 

Sepia:  Wetting  bed  during  first  sleep;  which  is  very 
profound,  can  hardly  wake  up.  Urine  very  offensive, 
cannot  bear  to  have  it  in  room,  especially  in  women. 
Sourish. 

Staphisagria :  Burning  in  urethra,  but  not  when  urin- 
ating. 

Terebinthina :  Urine  brown,  black  or  smoky  from  ad- 
mixture of  blood.  Strangury.  Burning  and  smarting  on 
passing  urine.  In  kidney  and  bladder  troubles. 

Zincum  met. :  Can  only  urinate  when  sitting  bent 
back. 

For  inflammatory  retention  see  :  Aconite,  cannabis  ind., 
cantharides,  mix  vomica,  pulsatilla. 

For  paralytic  retention  see :  Arsenicum  album,  dulca- 
mara, hyoscyamus. 

For  spasmodic  retention  of  urine  see :  Aurum,  can- 
tharides, conium  m.,  digitalis,  hyoscyamus,  lachesis,  mix 
vomica,  opium,  pulsatilla,  rhus  tox.,  veratrum  album. 


BASIC   INDICATIONS  IN   SPECIAL   CONDITION'S  391 

For  thickening  of  the  viscus  see :  Dulcamara,  mercu- 
rius, pulsatilla. 

Periostea!  ])ain  from  suppressed  gonorrhoea :  Sarsa- 
parilla. 

Cystitis:  Causticum,  chimaphila,  equisetum,  dulcam- 
ara, cantharides,  terebinthina. 

Urine,  Color  and  Nature: 

Brownish:  Arnica,  causticum,  colchicum,  digitalis, 
kreosotum,  lachesis,  mercurius,  nitric  acid,  pulsatilla. 

Clear:  1  Belladonna,  dulcamara,  kreosotum,  phosphoric 
acid,  sulphur. 

Deep  color:  Belladonna,  calcium,  digitalis,  hellehorus 
nig.,  lachesis,  lycopodium,  mercurius,  nitric  acid,  sepia. 

Milk  white:  Aurum,  berberis  vul.,  chelidonium,  col- 
chicum, croton  tig.,  iodium,  nitric  acid,  phosphoric  acid, 
pulsatilla. 

Reddish:  Bryonia,  cantharides,  carbo  veg.,  mercu- 
rius, mix  vomica,  platina,  squill,  valerian,  zincum  met. 

Whitish  :   A I  ercurius. 

White,  turbid,  dirty:  Causticum,  china,  conium  m., 
rhus  tox. 

Yellow:  China,  croton  tig.,  hyoscyamus. 

Diminished  secretion:  Belladonna,  bryonia,  carbo 
veg.,  colchicum,  colocynthis,  digitalis,  dulcamara,  graph- 
ites, kreosotum,  pulsatilla,  stannum  met.,  sulphur,  sul- 
phuric acid,  veratrum  album. 

Feeble   stream:  Chamomilla,   helleborus,    mercurius. 

Interrupted:  Clematis  e.,  conium  m.,  pulsatilla,  sul- 
phur, zincum  met. 

Retarded:  Hepar  sulph. 

Suppressed:  Belladonna,  cantharides,  iodium,  stra- 
monium. 

Too  frequent  urinating:  Lycopodium,  mercurius. 

Too  great  increase  in  urinating:  Alum,  ammonium 
mur.,  china,  kreosotum,  magnesium  sulph.,  phosphorus. 

Nausea,  hunger  or  headache  with  flow  of  urine:  Vera- 
trum album. 

Redness  of  orifice  of  urethra:  Hepar  sulph. 

Urethra,  pain  in  during  urination:  Colchicum.  After 
urination  :  Bovista. 


MATERIA  MED1CA  AND  CLINICAL  THERAPEUTICS 

WARTS. 

Causticum,  nitric  acid,  thuja  oc.  If  the  result  of  sup- 
pressed gonorrhoea  thuja  oc.  is  the  best  remedy. 

WORMS. 

Belladonna:  Worms  with  head  symptoms.  In  these 
cases  belladonna  should  be  alternated  with  the  indicated 
remedy. 

Cicuta  v.  sod  or  higher:  Worm  symptoms  with 
opisthotonos,  this  remedy  should  be  alternated  with  the 
indicated  remedy. 

Cina  sod  or  higher:  Restless  in  the  night,  jumps,  jerks 
and  rolls  around  in  bed,  grinds  teeth  and  often  screams  in 
sleep.  Sometimes  swallowing  as  if  something  was  com- 
ing up  in  throat.  Child  cries  a  great  deal  and  is  cross 
and  contrary.  Wants  things  only  to  reject  them  ;  wants 
to  be  carried  around  and  then  again  not.  Picks  nose  a 
great  deal.  Dark  circles  around  the  eyes.  Face  may  be 
pale  or  glowing  red,  in  which  latter  case  the  child  is  gen- 
erally pale  around  the  mouth.  Alternate  loss  of  appetite 
with  canine  hunger.  A  valuable  remedy  to  remove  lum- 
bricoides  or  conditions  the  result  of  this  pest. 

Chamomilla:  We  have  similar  symptoms,  but  in  this 
drug  the  face  is  red  and  hot  on  one  side,  while  the  other 
is  pale  and  cool. 

Teucrium  Marurn,  3od  or  higher:  Children  or  grown 
people  that  are  troubled  with  ascarides  will  find 
this  an  effective  remedy.  In  these  cases  there  is  gener- 
ally a  great  deal  of  itching  of  the  nose.  Examination  of 
the  feces  will  often  show  little  worms.  There  is  generally 
also  itching  of  the  rectum. 


INDEX 


393 


INDEX  TO  PART  I. 


Introduction    3 

Bath     208 

Breath   Odor    210 

Classes   of   Remedies  ....  10 

Contra-jlndiicatiions     ....  22 

Convulsions    . 210 

Doses  of  Eclectic  Drugs.  28 

Doses   of   Other  Drugs.  .  33 

Doses  at  Various  Ages.  .  26 

Electricity    158 

Evacuations     211 

Forms   of  Medicines ....  7 
Formulas  and  Useful  In- 
formation   .  167 

— Acne    167 

— Anal    prolapsus 167 

— Angina    pectoris     ....  167 

— Ascaris    Vermicularis.  167 

—Antiseptics    ..........  167 

— Ascites    168 

— Asthma    167 

— Baby   soother    168 

—Barber's  itch    168 

—Bladder,     chronic     in- 
flammation   of    neck  168 

—Blood   blisters    168 

— Blood  poison    168 

—Boils    168 

— Breasts,    inflammation 

of    169 

— Breathing,   shallow    .  .  169 

—Burns    169 

—Cancer    169 

— Cancer  of  stomach  ..  .  170 

—Catheter,   to   introduce  169 

— Cellulitis   pelvic    170 

— Cerebro  spinal   menin- 
gitis    170 

—Chancroid              170 


—Chilblains    171 

— Cholera    171 

— Chorea    171 

—Colic    172 

• — Constipation    173 

1 — Convulsions    173 

— Coughs 172 

— Counter  irritants  ....  174 

— Cramps    174 

( — Craving    for    alcoholic 

beverages    .  . 174 

— Croup    .  ./ 173 

— Delirium   tremens    .  .  .  174 

. — Diabetes    175 

— Diaphoretic    powders..  175 

— Dipsomania    175 

— Dressing   and    dusting 

powder    175 

— Dropsy    174 

— Dysmenorrhoea    175 

— Dyspnoea    175 

—Ears    176 

— Eczema     178 

— Enuresis    178 

— Epistaxis     178 

— Erysipelas     179 

— Expectorants    .......  179 

—Eyes     179 

—Feet  Sweating 183 

—Felon    183 

— Fevers   and   inflamma- 
tion      183 

—Flatulence    183 

— Gall   stones 184 

— Gastritis,  chronic  ....  184 

— Goitre    184 

— Goitre,    exopthalmic.  .  184 
— Hemorrhages    in    gen- 
eral 186 


394 


INDEX 


— Hemorrhage,  post-par- 

tum    186 

—Hemorrhoids     184 

—Hernia    187 

—Hiccough     187 

— Hoffman's  anodyne    .  .  187 

—Hot   drops,   No.    6....  187 

— Hydjrocele     187 

— Impotence    188 

— Inflammation,    local..  189 

— Influenza    187 

— Insomnia     188 

— Labor,    to    ease 189 

—Ligatures     189 

—Liniments    190 

— Lumbago    190 

— Lung    syrups    190 

— Metritis    191 

— Miscarriages,      threat- 
ened      191 

— Myxedema    191 

— Nerve  troubles    191 

— Nervousness,  sleepless- 
ness,   hysteria    ....  192 

—Neuralgia    191 

— Neutralizing   cordial..  191 

— Nymphomania    192 

—Obesity    192 

— Ointments     192 

— Opium    and    morphine 

habit     194 

— Orchitis     194 

— Parturients    195 

— Pediculis  pubis    19G 

—Plasters    190 

—Pleurisy    19G 

—Pneumonia     195 

—Poultices     197 

— Prostrate,  enlarged    ..  197 

— Pruritus   vulvae    197 

— Puerperal    convulsions  197 


— Puerperal    infection..  198 

—Rheumatism     201 

— Scabies    201 

— Scurvy     201 

— Seasickness    202 

—Shock    202 

— Snuffles    in    infants.  .  .  202 

— Soreness   and   chafing.  202 

— Spermatorrhoea    202 

— Sprains    203 

— Sting   of  bees 203 

— Stomach    ulcers    203 

— Stomatitis     203 

— Stoppers,   glass,   to   re- 
move      2()."> 

— Strictures,    spasmodic.  203 

— Syphilis     203 

—Syrup,  compound  phos- 
phate of  iron 203 

— Tapeworms    204 

— Tetanus    205 

— Tonsillitis     20G 

, — Toothache     205 

— Tooth    wash    205 

— Tympanitis    200 

— Typhoid    fever    204 

—Ulcers     207 

— Urinae   ardor    207 

— Uterus,  enlarged    ....  207 

— Varicocele    207 

— Varicose  veins    207 

— Vesicles,  to  cause.  ...  207 

—Worms    207 

Hypereniia     212 

Incompatibles     19 

Incompatible*,    (Mien.Mcal  20 
Materia        Meclioa        and 

Therapeutics     :!(> 

. — Acids     30 

— Acidum    benzoicum    .  .  40 

— Acidum   boricum    .  40 


—  Acidum    carbolic    .... 
—  Acidum      hydrochlori- 
cum     

INI 
41 
37 
38 

41 

38 
42 

39 
39 
43 

45 
45 
4G 
46 

47 
47 
48 
48 
48 
49 
50 
49 
50 
52 
53 
54 
54 
55 
5G 
57 
57 
59 
GO 
Gl 
Gl 
Gl 
G2 

DKX 

—  Card  u  us  m 

395 

63 
63 
64 
G4 
65 
67 
67 
68 
68 
69 
70 
72 
73 
73 
75 
75 
76 
77 
78 
78 
79 
79 
80 
80 
82 
82 
83 
84 
85 
85 
86 
87 
88 
89 
90 
90 
90 
92 

91 
92 

—  Cascara  sagrada  .... 
—  Caullophyllum 

—  Acidum      hydrochlori- 
cum  dilutum  

—  Ceanothus  
—  Cephalis  ipecacuanha. 
—  Chelidonium  .  . 

—  Acidum        hydrocyani- 
cum            

—  Chenopodium  
—  Chimaphila  umb  
—  Chionanthus  
—  Chloral  hydrate  
—  Chloroform  
—  Cimicifuga  
—  Cinnamomum 

—  Acidum  nitricum    .... 
—  Acidum    salicylicum  .  . 
—Acidum      sulphuricum 
aromaticum    
—Acidum   sulphurosum 
—  Aconitum    napellus.  .  . 
—  Aesculus    hip  

—  Cocaine  
—  Colchicum  
—  Collinsonia  
—  Colocynthis  
—  Convallaria  

—  Ailanthus    g 

—  Aletris    f 

—  Ammonia    

—  Ammonia,         aromatic 
spirits    of  

—  Cornus  florida 

—  Ammonium    carbonate 
—  Ammonium    muriate    . 
—  Amvgdalus    p 

'—  Corydalis  f 

—  Crataegus  
—  Cucurbita  citrullus  .  . 
—  Cypripedium 

—  Amvl   nitrite 

—  Anthemis    nobilis    
—  Apis    mel  
—  Apocynum    can  
—  Arsenicum    album    .  .  . 
—  Asclepias    t  
—  Avena   s  
Baptisia             

—  Digitalis  

—  Dioscorea  v  

—  Drosera  
—  Echinacea 

—  Epigaea  repens  

—  Erigeron  can  

—  Eriodiction    glut      .     . 

—  Barosma     

—  Eryngium    
Ether 

—  Belladonna     
—  Berberis  aquif    
—  Bigleovia    arb         .     .  . 

—  Eucalyptus    
—  Eupatorium    purp.  .  .  . 
—  Euphrasia    

—  Bromides    

Brvonia 

—  Felix  mas 

—  Cactus    g  
—  Calcium  sulphide    .... 
—  Calendula    

—  Perrum  

—      "        reductum    .... 
Acid      solution 
(Howe's)     
—  Ferri    acetas    . 

Cannabis     ind 

—  Cansicum     , 

IXDKX 


— Ferri  carbonas 92 

"      ferrocyanidum. .  92 

— Formaldehyde    93 

— Gelsemium     95 

— Geranium    97 

— Glonoine    97 

— Glycerinum     98 

— Gossypium    99 

— Grindelia  robusta   ....  99 

— Grindelia  squarrosa  ..  100 

— Hamamelis    101 

— Helonias    102 

— Hydrangea    103 

— Hydrargyrum    103 

— Hydrastis  can 105 

— Hyoscyamus    106 

— Ignatia   am 107 

— Inula    108 

—Iris   v 108 

— Iron,  Acid,   solution  of 

(Howe's)     91 

— Juglans    109 

— Leptandra    110 

— Lilium  tigrinum    110 

— Lippia  mex    Ill 

— Lithii  benzoas    Ill 

—Lobelia  inflata Ill 

— I^ycopus    v 113 

— Mentha    p 114 

— Mitchella    114 

— Nux  vomica    115 

— Oenanthe   crocata    ...  11G 

—Opium    117 

— Papaya    119 

— Passiflora    inc 120 

—Peroxide  of   Hydrogen  120 

— Petroselinum     121 

—Phosphorus    123 

• — Phytolacca    122 

— Pichi    124 

— Pilocarpus    124 


— Pinus  can    

— Piper  methysticum  .  . 
— Piscidia  erythrina  .  . 

— Plantago   m 

— Podophyllum    

— Polymnia   u 

— Polytrichum     

— Potassium     

— Potassium  acetate  .  . 
— Primus  serotina  .  . . . 

— <Pulsj»tilla    . 

— Punica  granatum  . .  . 

— Quinine    

— Rheum    

— Rhus  aromaticum    .  , 

— Rhus   tox    

— Salix  nigra  aments    . 

• — -Sanguinaria    

— Scutellaria    

— Secale  corn   

— Senecio    

— Serenoa   serrulata    .  . 

— Serpentaria    

— Sodium    

— Sodium  bicarbonate. 
— Sodium  phosphate.. 
— Sodium  sulphite.  .  .  , 

— Spigelia    

— Staphisagria     

— Sticta  p 

— Stigmata   m 

— Stillingia     , 

— Stramonium     

— Sltrophantus     

— Sulphur     

— Thuja   o 

— Tolu  balsam 

— Triticum  repens    .  . . . 

— Turnera    a 

— Umbellularia  calif. .  . 
— Vesicaria  com.  . 


125 
126 
127 
127 
128 
128 
129 
129 
130 
131 
131 
132 
132 
133 
134 
i35 
136 
137 
138 
138 
140 
141 
141 
142 
142 
143 
143 
144 
144 
145 
i  I :, 
146 
146 
147 
148 
149 
150 
1  5 1 
151 
151 
152 


INDEX 


397 


— Veratrum   viride    ....  153 

—Viburnum    opulus.  .  .  .  154 

— Viburnum  prunifolium  154 

—Vinegar    155 

— Viscum   album    156 

— Xanthoxylum     157 

— Zinziber    off 158 

Pain    212 

Poisons   and   Their  Anti- 
dotes       13 

Poisons,     Appearance    of 

Tongue  from    18 


Pulse    and  Temperature  214 
Pulse,    Average   at    Vari- 
ous   Ages    216 

Respiration     216 

Temperature,         Average* 

Normal    216 

Temperature,  Sub-normal  216 
Tongue  Indications,   Etc.  217 
Urine,   Clinical  Examina- 
tion     ' .  .  220 

Vibrations   and   Colors.  .  164 

Weights  and  Measures.  .  27 


INDEX  TO  PART  II. 


Remarks 223 

Doses  of    Drugs  in    Pri- 
mary Form 225 

Indications,   Leading  Ba- 
sic in  General 308 

—Alcohol,  bad  effects  of  308 

—Anemia    308 

— Anti  remedies   308 

— Appetite  in  general   .  .  308 

—Breath  odor 311 

—Burning  remedies    ...  312 

—Chills    312 

—Cold   air    313 

— Dreams    314 

—Dry  air 314 

—Emaciation     314 

— Expectoration    315 

— Fat  people    316 

—Fear    316 

— Feeling  hurried 316 

— Fevers   and    inflamma- 
tion       317 

—Fidgety    .  :  .  ...'..  .  .  ,  .  318 

—Flatulence    .........  318 

— Fright,  effects  of..  ...  319 

— Headache    .  .  .  319 


— Heat  and  hot  applica- 
tions       325 

— Infants    325 

—Itching .  326 

—Left  sided   remedies.  .  326 
— Motion   aggravates  ....326 

—Motion  ameliorates    .  .  326 

— Mucous   discharge    ...  327 

—Nails     327 

—Nausea    327 

— Oedematous  conditions  328 

—Pain,   neuralgic    328 

—Pain  in   general 328 

—Paralysis 331 

— Pressure    331 

— Restless   remedies    ...  331 

— Right-sided    remedies.  332 

—Sensation    332 

— Sensitive  to  touch,  etc.  333 

— tlleep    334 

—Smell     333 

— Spare  people .  334 

— Sunheat,   effects    from.  "335 

—Sweating '336 

—Taste 337 

— Temperaments    338 


398 


INDEX 


— Thirst    

— Thirst,  absence  of    ... 

— Time,  aggravation  of 
symptoms  

— Trembling    remedies.  . 

— Trembling,  sensation 
of  internal  

— Twitching  remedies   .  . 

— Vertigo    

— Vomiting    

— Wet  weather  remedies 

— Wounds  and  fractures 

— Wounds  of  nerves, 
bones,  periosteum, 
or  bruises  

Indications,  Leading  Ba- 
sic, of  Some  Drugs  in 
Special  Conditions. .  .  . 

— Alopecia    

— Anal   fissures    

— Anal  prolapsus    

— Antidotes    

— Asthma  spasms    

—Boils    

— Catarrh  in  head 

— Cholera,  cholera  mor- 
bus,  cholera  infan- 
tum  

— Cold  in  general      .... 

— Colic  and  cramps  .... 

— Colic,   nephritic    

— Colic,   renal    

— Colic  and  cramps,  lo- 
cal applications  ..  . 

— Constipation    

— Convulsions    

— Coryza  in  general    .  .  . 

— -Cough 

— Croup   

— Cyanosis 

— Debility  in  general    .  . 


337        —Delirium     355 

337  — Diabetes    358 

— Diarrhoea    and    dysen- 

338  tery    356 

338        —Diphtheria    357 

— Dropsy     35b' 

338  — Eczema    359 

339  —Epilepsy    359 

339  — Goitre    . 3(51 

340  — Gonorrhoea     3  (50 

342        — Hay  fever   .  .  . 361 

342        — Hemorrhages    

— Hemorrhoids    

— Locomotor    ataxia    .  . 

342  — Mind       symptoms       in 

general     363 

—Orifices  of  the  body.  .  .37,0 

343  —Pertussis ...  370 

343        — Prostration,     collapse, 

343  cyanosis,    dyspnoea.  371 

343       — Rheumatism  and  sciat- 

343  ica     372 

344  — Reproductive     wrongs 

344  in   females    374 

345  — Reproductive      wrongs 

in    males    385 

— Sore        and        Bruised 

346  Feeling     387 

346  —Spasm     388 

347  —Toothache     388 

348  —Urinary  organs 388 

348        —Warts    392 

—Worms    392 

348       Materia        Medica        and 

348        Therapeutics 230 

350       —Acid  muriatic 230 

350  —Acid  nitric    230 

351  —Acid    phosphoric    .....  .231 

354       —Acid  sulphuric   , ,  ...  .-231 

371       —Aconite 231 

358       — Aloe    .  ..232 


INDEX 


399 


—Alumina    

.  .  .  .    232 

—  Ha  mam  el  is 

253 

—  Ammonium   mur 

.  .  .  .    233 

—  Helonias 

253 

—  Anacardium    o 

233 

—  Hepar   sulph 

2  "•  ", 

—  Antimonium  tart 

.  .  .  .    234 

—  Hvdrastis    can.  .  . 

254 

—  Apis    m  

.  .  .  .    234 

—  Hyoscyamus 

254 

—  Antimonium   cruel, 
—  Argentum  nit. 

.  .  .  .    233 
235 

—  Ignatia   am  
—  lodium 

.  .    254 
255 

—  Arnica    , 

.  .  .  .    236 

—  Ipecacuanha 

25G 

—  Arsenicum    alb  .  .  . 

...    236 

—  Iris    v 

256 

—  Aurum  met     

.  .  .    237 

—  Kali  bichrom 

257 

—  Baptisia 

—  Kali   carb 

258 

—  Barvt?,    carb  

..  .  .    238 

—  Kali  iodatum 

259 

—  Belladonna     

.  .  .    238 

—  Kali    mur 

259 

Berberis    vul  

.  .  .    239 

—  Kali    phos  .  . 

260 

—  Borax    v      

.  .  .    239 

Kali   sulph 

260 

—  Brvonia     

...    240 

—  Kreosotum    

,  .    260 

Cactus   g 

240 

Lac   defloratum 

261 

—  Caladium    

.  .  .    241 

—  Lachesis    

.  .    261 

—  Calcarea   fluor 

.  .  .  .241 

—  Lvcopodium 

262 

—  Calc<\rea    ost  

.  .  .    241 

—  Magnesium  phos 

.    263 

—  Calcarea    phos.  .  .  . 
—  Calcarea    sulph  .  .  . 
—  Cantharides    
Carbo    veg 

...    242 
...    243 
...    243 
.  .    243 

—  Mercurius    
—  Natrum   carb  
—Natrum    mur  
—  Natrum  phos.  . 

.  .    264 
.    264 
,  .    264 
.    2G6 

—  Caulophyllum     .  .  . 
—  Causticum     

...    244 
.  .  .    244 

—  Natrum    sulph  
—  Nux  vomica    

.    266 
.    266 

—  Chamomilla    
—  Chelidonium    
—  China    off 

...    24G 
...    24G 
.  .  .    247 

—  Onosmodium    v  
—  Phosphorus     
Phytolacca 

.    267 
.    267 

.    269 

—  Cimicifuga       

.  .  .    247 

—  Plumbum  net      .   .  .  , 

.    269 

—  Cina    

.  .  .    248 

—  Pulsatilla    

.    270 

—  Cocculus    ind 

248 

Rhus   tox 

270 

—  Colchicum 

249 

Sabadilla 

.    271 

—  Colocynthis    
—  Crocus       

.  .  .    249 
249 

—  Sanguinaria    
Secale  cor           

.    271 
.    271 

—  digitalis    
—  Ferrum  acetate  or 

.  .  .    250 
met  250 

—  Sepia    
—  Silica    

.    272 
.    273 

—  Ferrum    phos    . 

250 

—  Spongia    t                  .  • 

.    273 

—  Gelsemiuni    
—  Glonoine    

..  .    251 
.  .  .    252 

—  Stannuni    met  
—  Staphisagria    

.    274 
.    274 

—  Graphites    . 

.    252 

—  Sulohur   . 

.    275 

400 


INDEX 


• — Tartantula    hisp 276 

— Thuja   o 276 

— Veratrum   alb 276 

— Zincum    met 277 

Kc&'ions     of     the     Body, 

Remedies    Acting    On.  278 

— Abdomen    278 

—Back    280 

—Chest     284 

—Ears    285 

—Eyes    287 

—Eyelids    291 

—Face    292 

— Heart  .  282 


—Head    .  .  - 

— Liver    . 

— -Lower  extremities* 

— Mouth    

— Mouth,    Odor    of.  . 

—Nose    

— Saliva    

— Skin     

— Speech     

— Spleen     

— Stomach     

— Throat     

— Tongue     

— Upper    extremities 


.  293 

.  278 

294 

.  296 

.  297 

.  298 

.  297 

.  300 

.  298 

.  279 

.  279 

303 

.  305 

.  306 


r  UNIVERSITY  OF  CALIFORNIA  LIBRARY 
BERKELEY 
Return  to  desk  from  which  borrowed. 
This  book  is  DUE  on  the  last  date  stamped  below. 


1947 

JftN  3  1 1960 

REC'D 

JAN  18 '56 -11  A 

LOAN  DEPT 

-AUG  'L 1 1998 


79 


LD  21-100m-9,'47(A5702sl6)476 


M920 


